Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2016 Adult Day Services Center Questionnaire-Version B Removed 0 0 0 Form NONE National Study of Long-Term Care Providers--2016 Adult Day Services Center Questions-Version B
2016 Adult Day Services Center Questions-Version A Removed 0 0 0 Form NONE National Study of Long-Term Care Providers--2016 Adult Day Services Center Questions-Version A
2016 Residential Care Community Questions-Version A Removed 0 0 0 Form NONE National Study of Long Term Care Providers--2016 Residential Care Community Questions-Version A
2016 Residential Care Community Questions-Version B Removed 0 0 0 Form NONE National Study of Long Term Care Provider --2016 Residential Care Community Questions-Version B
ADSC Provider Questionnaire New 1419 710 0 Form and Instruction 0920-0943 ADSC Provider Questionnaire
Data Retrieval Telephone Call Removed 0 0 0 Other-WORD
RCC Provider Questionnaire New 1589 795 0 Form and Instruction 0920-0943 RCC Provider Questionnaire
RCC/ADSC Contact Confirmation Call Script New 3740 312 0 Form 0920-0943 RCC/ADSC Contact Confirmation Call Script
RCC/ADSC Sampling and Services User Questionnaire New 3008 1504 0 Form and Instruction 0920-0943 RCC/ADSC Sampling and Services User Questionnaire
RCC/ADSC Screener and Appointment Setting Call Script New 3740 935 0 Form 0920-0943 RCC/ADSC Screener and Appointment Setting Call Script
Total burden requested under this ICR: 13496 4256 0  
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