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

View Information Collection (IC)

LTCF Resident Impact and Facitlity Capacity - State/Local Health Department Occupations.
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Yes Yes Fillable Fileable
Form and Instruction 0920-1290 NA Yes Yes Fillable Fileable

Health Health Care Services

 

2,446 0
   
State, Local, and Tribal Governments
 
   100 %

  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 63,596 0 0 0 0 63,596
Annual IC Time Burden (Hours) 42,397 0 5,299 0 0 37,098
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Instructions - LTCF Resident Impact and Facitlity Capacity 08/26/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.