Long Term Care- Electronic Focus Group

ASPE Generic Clearance for the Collection of Qualitative Research and Assessment

OMB: 0990-0421

IC ID: 217046

Information Collection (IC) Details

View Information Collection (IC)

Long Term Care- Electronic Focus Group
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-0421Attachment A_Discussion Guide_Betty White.doc Yes Yes Fillable Fileable

Health Health Care Services

 

40 0
   
Individuals or Households
 
   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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 40 0 40 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
memo 0990-0421 OMB Generic Clearance_LTC focus groups 060515 (3).doc 06/16/2015
suppt. st A 0990-0421SupportingStatementA_LTC.docx 06/16/2015
suppt st B 0990-0421SupportingStatementB_LTC.docx 06/16/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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