OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Business and Financial Operations Occupations - Staff and Personnel Impact - Retrospective Data Entry

IC 241806 under ICR 202005-0920-014 · OMB 0920-1290.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 0920-1290
Business and Financial Operations Occupations - Staff and Personnel Impact - Retrospective Data Entry		 Form and Instruction
0920-1290 COVID-19 Module - LTCF Staff and Personnel Impact Form (
CDC 57.145_TOI_Staff and Personnel Impact lw CLEAN.docx 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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Information Collection Instruments:
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Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1290 COVID-19 Module - LTCF Staff and Personnel Impact Form (Retrospective Datat Entry) CDC 57.145_TOI_Staff and Personnel Impact lw CLEAN.docx NA Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


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  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 1,223 0 0 0 0 1,223
Annual IC Time Burden (Hours) 306 0 0 0 0 306
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.