PRA IC List
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Agenda
Reg Review
ICR
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 Eligibility and Registration Form
Nursing Home SOPS Data File Submission
Modified
50
50
0
Form and Instruction
Form 4
Nursing Home SOPS Data File Submission
Nursing Home Site Information Form
Modified
250
21
0
Form and Instruction
Form 3
Nursing Home Site Information Form
SOPS Nursing Home Database Data Use Agreement
Modified
50
3
0
Form and Instruction
Form 2
SOPS Nursing Home Database Data Use Agreement
Total burden requested under this ICR:
400
77
0
To view an IC, click on IC Title
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