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57.220 Weekly Person Level Respiratory Pathogen and Vaccination for Residents-LTCF Component_Manual

IC 271941 under ICR 202410-0920-012 · OMB 0920-1317.

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

View Information Collection (IC)

57.220 Weekly Person Level Respiratory Pathogen and Vaccination for Residents-LTCF Component_Manual 0920-1317
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 57.220 Weekly Person Level Respiratory Pathogen and Vaccination for Residents-LTCF Component_Manual 57.220 Weekly Person Level Resp Pathogen_Vaccination for Residents-LTCF_Manual.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,600 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 83,200 0 83,200 0 0 0
Annual IC Time Burden (Hours) 83,200 0 83,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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