Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CDC Worksite Health Scorecard New 800 600 31764 Form and Instruction 0920-1014 CDC Worksite Health Scorecard
CDC Worksite Health Scorecard Removed 0 0 0 Form and Instruction 0920-1014 Attachment C-3 CDC Worksite Scorecard Cognitive Interview Guide_4.24.2017
CDC Worksite Health Scorecard Cognitive Interview Removed 0 0 0 Form and Instruction 0920-1014 Attachment C-3 CDC Worksite Scorecard Cognitive Interview Guide_4.24.2017
CDC Worksite Health Scorecard Pilot Evaluation Removed 0 0 0 Form and Instruction 0920-1014 Attachment C-4 CDC Worksite Scorecard Pilot Eval Screenshots_4.24.2017
CDC Worksite Health Scorecard Registration New 800 67 3547 Form and Instruction 0920-1014 CDC Worksite Health Scorecard Registration
CDC Worksite Health Scorecard- Registration Application Removed 0 0 0 Form and Instruction 0920-1014 Attachment C-1_CDC Worksite Health Scorecard Registration Screenshots_6.26.17
Total burden requested under this ICR: 1600 667 35311  
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