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

View Information Collection (IC)

[NCEZID] In-Depth Interviews about Infection Prevention and Control Practices in Long-Term Care Facilities 0920-25-0100
 
Unchanged
 
Voluntary
 

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

Health Illness Prevention

 

234 0
   
Individuals or Households
 
   90 %

  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 234 0 0 0 0 234
Annual IC Time Burden (Hours) 63 0 0 0 0 63
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent Form Resident 05/20/2025
Consent Form Family or Friend 05/20/2025
Research Determination 05/21/2025
GenIC Request Template 05/21/2025
SSA 05/21/2025
SSB 05/21/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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