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

View Information Collection (IC)

Birth Certificate and Hospital Discharge Linkage - State Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Yes Yes Fillable Fileable
Form none Yes Yes Fillable Fileable

Health Immunization Management

 

104 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 104 0 0 0 0 0
Annual IC Time Burden (Hours) 43 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 08/27/2012
Supporting Statement B 08/27/2012
Birth Certificate and Hospital Discharge - Word version 08/27/2012
Att D - Advance Emails 08/27/2012
Att E - Notification Emails 08/27/2012
Att F - Reminders 08/27/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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