Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
State Annual Long-Term Care Ombudsman Report Modified 52 11628 0 Form 3 NORS Table 3 Program Information
Form 1 NORS Table 1
Form 2 Table 2 Complaint Codes
Form 3 NORS Table 3 Program Information
Total burden requested under this ICR: 52 11628 0  
To view an IC, click on IC Title