RCC/ADSC Sampling and Services User Questionnaire

Data Collection for the Residential Care Community and Adult Day Services Center Components of the National Study of Long-term Care Providers

OMB: 0920-0943

IC ID: 231012

Information Collection (IC) Details

View Information Collection (IC)

RCC/ADSC Sampling and Services User Questionnaire
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0943 RCC/ADSC Sampling and Services User Questionnaire Attachment C-3 011018.docx NA No   Paper Only

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37697

3,008 1,430
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  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 0 0 0 -3,008 3,008 0
Annual IC Time Burden (Hours) 0 0 0 -1,504 1,504 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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