View Information Collection (IC)

View Information Collection (IC)

Frame Development for the Residential Care Component of the National Study of Long-Term Care Providers 0920-17AIZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Semi-Structured Telephone Protocol Attachment A NSLTCP Frame Telephone Protocol 042717.doc No   Paper Only
Form and Instruction N/A Contact Information Verification Attachment B-1 Advance Package Contact Info Verification 042717.doc No   Paper Only
Form and Instruction N/A Electronic File Development Attachment C-Electronic File Development 042717.docx Yes Yes Fillable Fileable

Health Health Care Services

 

87 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 87 0 87 0 0 0
Annual IC Time Burden (Hours) 138 0 138 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A NSLTCP Frame Part A 050917.doc 05/12/2017
Advance Package Letter Attachment B-2 NSLTCP Frame Advance Package NCHS Letter_042717.doc 05/12/2017
Letter of Support Attachment B-3 Letter of Support 042717.doc 05/12/2017
NCHS Confidentilality Brochure Attachment B-4 Advance Package NCHS Confidentiality Brochure_042717.doc 05/12/2017
Human Subjects Determination Attachment D Human Subjects Determination_042717.doc 05/12/2017
Thank You Letter Attachment E-Thank You Letter_042717.doc 05/12/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.