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

View Information Collection (IC)

Pilot Test of Proposed Revisions to the Nursing Home Survey on Patient Safety Culture (NH SOPS) to Version 2.0, with the Workplace Safety Supplemental Item Set for Nursing Homes
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

3,012 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   37 %

  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 3,012 0 3,012 0 0 0
Annual IC Time Burden (Hours) 1,248 0 1,248 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment B - Nursing Home Data Use Agreement (DUA) 05/09/2024
Attachment C - Nursing Home Background Information Form 05/09/2024
Attachment D - Nursing Home Point of Contact (POC) Instructions 05/09/2024
Attachment E - Survey Invitation and Reminder Notices 05/09/2024
Attachment F - Technical Expert Panel members 05/09/2024
Supporting Statement Part A - Pilot Test of NH SOPS 2.0 05/10/2024
Supporting Statement Part B - Pilot Test of NH SOPS 2.0 05/10/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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