Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Survey (Individuals) Unchanged 250 42 0 Form and Instruction N/A Indian Affairs Public Health Needs Assessment Survey
Survey (State, Local, Tribal Governments) Unchanged 750 125 0 Form and Instruction N/A Indian Affairs Public Health Needs Assessment Survey
Total burden requested under this ICR: 1000 167 0  
To view an IC, click on IC Title