Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult Day Services Center Questionnaire Modified 5000 2500 0 Form none ADSC Questions
Data Retrieval Telephone Call Questionnaire Modified 1670 418 0 Form none Data Retrieval Call
RCC and ADSC Directors Follow-up Call New 1000 167 0 Other-Phone Interview Questions
Residential Care Community Questionnaire Modified 11701 5851 0 Form none 2014 RCC Questions
Total burden requested under this ICR: 19371 8936 0  
To view an IC, click on IC Title