View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Participants Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Attachment 2 - Participants Survey Yes Yes Paper Only
Form and Instruction Attachment 2- Participants Survey Yes Yes Paper Only
Form and Instruction Attachment 2 Yes Yes Paper Only

Health Public Health Monitoring

 

12,000 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 12,000 0 12,000 0 0 0
Annual IC Time Burden (Hours) 996 0 996 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 6 - Registration-Confirmation 08/02/2010
Attachment 6-Participants Survey Card 09/29/2010
Attachment 8-Registration Confirmation of Participation Email 92710 09/29/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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