Data Submission

Nursing Home Survey on Patient Safety Culture Comparative Database

OMB: 0935-0195

IC ID: 201035

Information Collection (IC) Details

View Information Collection (IC)

Data Submission
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #4 NH Welcome and Login Pages Attachment D - Nursing Home Data Submission Emails.docx Yes Yes Fillable Fileable

Health Immunization Management

 

60 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 60 0 -240 0 0 300
Annual IC Time Burden (Hours) 60 0 -240 0 0 300
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment K - NH Submission Home Page Attachment K - NH Submission Home Page.docx 01/31/2012
Attachment I - Emails - NH SOPS Data Submission Attachment I - Emails - NH SOPS Data Submission.doc 01/31/2012
Attachment L - NH Questionnaire Upload Page Attachment L - NH Questionnaire Upload Page.docx 01/31/2012
Attachment M - NH SOPS Data Submission Specs Attachment M - NH SOPS Data Submission Specs.pdf 01/31/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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