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

View Information Collection (IC)

Facilities Universe in 2014 and 2016
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2014 N-MHSS (Full-Scale) Paper Questionnaire Yes Yes Fillable Printable

Health Public Health Monitoring

 

17,000 0
   
Private Sector Not-for-profit institutions
 
   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 17,000 0 2,000 0 0 15,000
Annual IC Time Burden (Hours) 12,750 0 6,450 0 0 6,300
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2014 N-MHSS CATI Questionnaire 11/25/2013
2014 N-MHSS Web Screens for Online Questionnaire 11/25/2013
2014 N-MHSS Advance Letter 11/25/2013
2014 N-MHSS Cover Letter (First Mailing) and Online Questionnaire Access Instructions_Pg 1 11/25/2013
2014 N-MHSS Cover Letter (First Mailing) and Online Questionnaire Access Instructions_Pg 2 11/25/2013
2014 N-MHSS First Thank You-Reminder Letter 11/25/2013
2014 N-MHSS Second Thank You-Reminder Letter 11/25/2013
2014 N-MHSS Cover Letter (Second Mailing) and Online Questionnaire Access Instructions_Pg 1 11/25/2013
2014 N-MHSS Cover Letter (Second Mailing) and Online Questionnaire Access Instructions_Pg 2 11/25/2013
2014 N-MHSS Thank You Notification for Completed Surveys 11/25/2013
2014 N-MHSS Online Information Site Materials_FAQs 11/25/2013
2014 N-MHSS Online Information Site Materials_Page 1 11/25/2013
List of Expert Panel Members_Nov 2011 11/25/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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