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

View Information Collection (IC)

Focus Groups on TeamSTEPPS® for Long-Term Care Curriculum
 
Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 No   Paper Only
Other-screener No   Paper Only
Other-Feedback No   Paper Only

Health Health Care Services

 

72 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Requested 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 0 0 -72 0 0 72
Annual IC Time Burden (Hours) 0 0 -108 0 0 108
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
4. Appendix D – List of Module Names to be Used in Focus Groups 07/20/2016
Module 2 07/20/2016
Module 3 07/20/2016
Module 4 07/20/2016
Module 5 07/20/2016
Module 6 07/20/2016
Module 8 07/20/2016
Module 10 07/20/2016
Module 11 07/20/2016
Cover Memo 07/20/2016
Supporting Statement A 07/20/2016
Supporting Statement B 07/20/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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