View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Nursing Home National Provider Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10551 Yes Yes Fillable Fileable
Form and Instruction CMS-10551 Yes Yes Fillable Fileable
Form and Instruction CMS-10551 Yes Yes Fillable Fileable
Form and Instruction CMS-10551 Yes Yes Fillable Fileable
Form and Instruction CMS-10551 Yes Yes Fillable Fileable
Form and Instruction CMS-10551 Yes Yes Fillable Fileable

Health Health Care Services

 

940 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   30 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 940 0 940 0 0 0
Annual IC Time Burden (Hours) 639 0 639 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Llst of Attachments 11/16/2015
Second Survey Cover Letter 11/16/2015
Attachment XI - Reminder Letter 11/16/2015
Attachment X - First Mail Survey Letter 11/16/2015
Recruitment Email 11/16/2015
Attachment IX - Web Survey Invitation Emial 11/16/2015
Attachment I - Development of Two National Provider Surveys 11/16/2015
Attachment II - Data Sources used for 2015 Impact Assessment 11/16/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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