OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

National Survey of Residential Care Facilities (NSRCF) 2008-2010

OMB 0920-0780 ยท HHS/CDC.

OMB 0920-0780

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 8 Line 8 National Survey Resident QuestionnaireForm and Instruction
Form 7 Line 7 National Survey Facility QuestionnaireForm and Instruction
OMB Supp State Part B.docSupporting Statement B
Attachment E-ERB Approval.doc Supplementary Document
Attachment D-Questionnaire Reviewers.doc Supplementary Document
Attachment C-Technical Experts.doc Supplementary Document
Attachment B-Federal Register Notice.doc Supplementary Document
Attachment A-NCHS Legislation.doc Supplementary Document
Attachment M-Refusal Conversion Letters.doc Supplementary Document
Attachment L-Thank You Letters.doc Supplementary Document
Attachment F-Advance Package.doc Supplementary Document
OMB_Supp_State_Part_A.docSupporting Statement A
Line 8 National Survey Resident Questionnaire Form and Instruction
Line 7 National Survey Facility Questionnaire Form and Instruction
NSRCF - Verification Form Other-WORD
NSRCF - Resident Questionnaire Other-WORD
NSRCF - Faciility Questionnaire Other-WORD
NSRCF - Pre-Interview Worksheet Other-WORD
NSRCF - Resident Selection Questionnaire Other-WORD
NSRCF - Facility Screener Questionnaire Other-WORD

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200911-0920-003 Revision of a currently approved collection 2009-11-04 Approved without change
200802-0920-012 New collection (Request for a new OMB Control Number) 2008-02-25 Approved with change