OMB control number

National Survey of Residential Care Facilities (NSRCF) 2008-2010

OMB 0920-0780 · HHS/CDC.

OMB 0920-0780

Latest Forms, Documents, and Supporting Material

Document Name
Form 8 Line 8 National Survey Resident Questionnaire Form and Instruction
Form 7 Line 7 National Survey Facility Questionnaire Form and Instruction
OMB Supp State Part B.doc Supporting Statement B
Attachment E-ERB Approval.doc Supplementary Document
Attachment D-Questionnaire Reviewers.doc Supplementary Document
Attachment C-Technical Experts.doc Supplementary Document
Attachment B-Federal Register Notice.doc Supplementary Document
Attachment A-NCHS Legislation.doc Supplementary Document
Attachment M-Refusal Conversion Letters.doc Supplementary Document
Attachment L-Thank You Letters.doc Supplementary Document
Attachment F-Advance Package.doc Supplementary Document
OMB_Supp_State_Part_A.doc Supporting Statement A
Line 8 National Survey Resident Questionnaire Form and Instruction
Line 7 National Survey Facility Questionnaire Form and Instruction
NSRCF - Verification Form Other-WORD
NSRCF - Resident Questionnaire Other-WORD
NSRCF - Faciility Questionnaire Other-WORD
NSRCF - Pre-Interview Worksheet Other-WORD
NSRCF - Resident Selection Questionnaire Other-WORD
NSRCF - Facility Screener Questionnaire Other-WORD

All Historical Document Collections

200911-0920-003 Approved without change	Revision of a currently approved collection	2009-11-04
200802-0920-012 Approved with change	New collection (Request for a new OMB Control Number)	2008-02-25