ECHO National Nursing Home COVID-19 Action Network Customer Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0935-0179

IC ID: 246687

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

ECHO National Nursing Home COVID-19 Action Network Customer Satisfaction Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Appendix A Appendix A AHRQ ECHO National Nursing Home Initiative 04-06-2021 Revised.docx No   Paper Only

Health Health Care Services

 

4,571 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  Requested 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 4,571 0 0 0 0 4,571
Annual IC Time Burden (Hours) 505 0 0 0 0 505
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Cover Letter OMB Cover Letter.docx 04/06/2021
Supporting Statement Supporting Statment A 04012021 eb 04-06-2021 po clean.docx 04/06/2021
Appendix A Appendix A AHRQ ECHO National Nursing Home Initiative 04-06-2021.docx 04/06/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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