OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Monthly Survey Patient Days & Nurse Staffing

IC 257463 under ICR 202505-0920-007 · OMB 0920-0666.

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

View Information Collection (IC)

Monthly Survey Patient Days & Nurse Staffing
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 57.408 Monthly Survey Patient Days & Nurse Staffing 57.408 Monthly Survey Patient Days and Nurse Staffing.docx NA Yes Yes Fillable Fileable

Health Health Care Services

 

2,500 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 30,000 0 0 0 0 30,000
Annual IC Time Burden (Hours) 150,000 0 0 0 0 150,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.