Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CDC Worksite Health Scorecard New 200 250 9768 Form and Instruction 0920-1014
CDC Worksite Health Scorecard Cognitive Interview New 32 32 1225 Form and Instruction 0920-1014
CDC Worksite Health Scorecard Pilot Evaluation New 200 17 638 Form and Instruction 0920-1014
CDC Worksite Health Scorecard- Registration Application Modified 200 7 242 Form and Instruction 0920-1014
Total burden requested under this ICR: 632 306 11873  
To view an IC, click on IC Title