Information Collection

Resident Therapeutics - LTCF Personnel

IC 245463 under ICR 202211-0920-014 · OMB 0920-1317.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1317 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1317 CDC 57.X Resident Therapeutics - LTCF Personnel	Form and Instruction
0920-1317 CDC 57.X Long-Term Care Facility: Resident Therapeutics CDC 57.XXX_Therapueutics Pathway Form.docx	Form and Instruction
0920-1317 CDC 57.X Long-Term Care Facility: Resident Therapeutics CDC 57.XXX_Therapueutics Pathway Form.docx	Form and Instruction

IC Title:

Resident Therapeutics - LTCF Personnel

Agency IC Tracking Number:

0920-1317

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1317 CDC 57.XXX	Long-Term Care Facility: Resident Therapeutics	CDC 57.XXX_Therapueutics Pathway Form.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11,621

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	604,292	-254,332	858,624
Annual IC Time Burden (Hours)	100,715	-42,389	143,104
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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