Appendix C2 online version:
Nursing Home Administrator - Evaluation of Nursing Home Workplace Violence Prevention Program: Combined Form
Form Approved
OMB No. 0920-0914
Exp. Date 5/31/2019
Link to the instrument:
https://odu.co1.qualtrics.com/jfe/form/SV_bIRVNzuQ9y2M981
Public reporting burden of this collection of information is estimated to average 60minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0914).
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kevin Joyce |
| File Modified | 0000-00-00 |
| File Created | 2021-01-20 |