Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Nursing Home Eligibility and Registration Form Modified 50 3 0 Form and Instruction Form 1
Nursing Home SOPS Data File Submission Modified 50 50 0 Form and Instruction Form 4
Nursing Home Site Information Form Modified 250 21 0 Form and Instruction Form 3
SOPS Nursing Home Database Data Use Agreement Modified 50 3 0 Form and Instruction Form 2
Total burden requested under this ICR: 400 77 0  
To view an IC, click on IC Title