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OMB NO.: 0985-0005 EXPIRATION DATE: 07/31/2015 Instructions for Completing the State Long Term Care Ombudsman Program Reporting Form for The National Ombudsman Reporting System (NOR) Part I Cases,

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What is ombudsman program reporting form?

The ombudsman program reporting form is a document that allows organizations to report information about their ombudsman program.

Who is required to file ombudsman program reporting form?

Organizations with an ombudsman program are required to file the ombudsman program reporting form.

How to fill out ombudsman program reporting form?

The ombudsman program reporting form can be filled out by providing the requested information in the designated fields.

What is the purpose of ombudsman program reporting form?

The purpose of the ombudsman program reporting form is to gather information about the operations and effectiveness of ombudsman programs.

What information must be reported on ombudsman program reporting form?

The specific information that must be reported on the ombudsman program reporting form may vary, but generally includes details about the program's activities, budget, staffing, and outcomes.

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