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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 201306-0990-003
IC 46265
( )
Documents and Forms
Document Name
Document Type
0990-0308 Appendix C.doc
Other-in person interview
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:
Modified
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-in person interview
0990-0308 Appendix C.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
435
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
435
0
195
0
0
240
Annual IC Time Burden (Hours)
544
0
224
0
0
320
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.