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View Information Collection (IC)

View Information Collection (IC)

Community Nursing Home (CNH) Dementia ECHO: Staff Education Evaluation 2900-0770
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire No   Paper Only
Other-Questionnaire No   Paper Only

Health Health Care Services

 

150 0
   
Individuals or Households
 
   0 %

  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 150 0 150 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Clearance Statement_CNH Dementia ECHO Educ_May 2019 05/23/2019
Generic Clearance Supporting Statement 07/30/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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