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

View Information Collection (IC)

Survey of Health Professional Perceptions and Use of Center TRT Services
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Survey of Obesity Programs Attachment C Center TRT Survey Instrument Word (2).docx Yes Yes Fillable Fileable
Form none Survey of Obesity Program - web version Attachment D Web Screen Shots of Survey Instrument.docx Yes Yes Fillable Fileable
Form none Revised Survey of Obesity Programs - Word version REVISED Attachment C Center TRT Survey Instrument Word.docx No   Paper Only
Form none Revised Survey of Obesity Programs - Web Version REVISED Attachment D Web Screen Shots of Survey Instrument.docx Yes Yes Fillable Fileable

Health Immunization Management

 

177 0
   
State, Local, and Tribal Governments
 
   100 %

  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 177 0 177 0 0 0
Annual IC Time Burden (Hours) 41 0 41 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att E - Survey notification email Attachment E - Initial Notification Email_Center TRT (2).docx 09/19/2011
Att F - Follow-up email Obesity Program- Attachment F - Follow-up Email_Center TRT.docx 09/19/2011
Att G - Final reminder email Obesity Program- Attachment G - Final Reminder Email_Center TRT.docx 09/19/2011
Att B - Examples of center TRT products Obesity Program- Attachment B Example Center TRT Products.docx 09/19/2011
Supporting Statement A Center TRT Supporting Statement A (2).docx 09/19/2011
Supporting Statement B Obesity Program- Supporting Statement Part B.docx 09/19/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.