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In person Interview
The Effect of Reducing Falls on Acute and Long -Term Care Expenses
OMB: 0990-0308
IC ID: 46265
OMB.report
HHS/HHSDM
OMB 0990-0308
ICR 200611-0990-001
IC 46265
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0308 can be found here:
2013-06-28 - Extension without change of a currently approved collection
2010-04-26 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
0990ModelFallPreventionAppendix A.doc
Other-Other
0990telephoneriskAppendix B.doc
Other-Other
Appendix C-REDUCING FALLS.pdf
Appendix C-REDUCING FALLS
IC Document
0990HealthPromotionAppendix D.doc
0990HealthPromotionAppendix D
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
In person Interview
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Other
0990ModelFallPreventionAppendix A.doc
No
No
Paper Only
Other-Other
0990telephoneriskAppendix B.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,200
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
2,400
0
2,400
0
0
0
Annual IC Time Burden (Hours)
2,400
0
2,400
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix C-REDUCING FALLS
Appendix C-REDUCING FALLS.pdf
11/09/2006
0990HealthPromotionAppendix D
0990HealthPromotionAppendix D.doc
11/09/2006
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.