Download:
pdf |
pdfReconciling Missing Actions Form and Instruction
Non-visible Questions
Label
PDF Name
(step)
Location
Response
Input
Item
Visibility Trigger
Other
Report DCN
Number
Reconciling Below Report the
Missing
action now
Actions (1)
Text
Entry
If the user selects
Also displays
“Already reported Additional
the action” the text Comments
entry is displayed
Additional
Comments
Reconciling Below Report DCN
Missing
Number
Actions (1)
Text
Entry
If the user selects Also displays
“Already reported Report DCN
the action” the text Number
entry is displayed
Please
describe why
this action is
not reportable
Reconciling Below Action is not
Missing
reportable
Actions (1)
Text
entry
If the user selects
“Action is not
reportable” the
text entry is
displayed
None
Reconciling Below Ask my
Missing
compliance officer a
Actions (1) question
Text
entry
If the user select
“Ask my
compliance officer
a question the text
entry is displayed
State Changes
Label
OMB Number:
0915-0126
Expiration
Date:
mm/dd/yyyy
PDF Name
Reconciling
Missing Actions
Item Type
Modal
Trigger
When the user selects the link the modal is displayed
with the public burden statement content.
File Type | application/pdf |
File Title | Reconciling Missing Actions |
Subject | NPDB Compliance |
Author | Health Resources and Services Administration |
File Modified | 2023-05-22 |
File Created | 2023-01-18 |