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

View Information Collection (IC)

Media Tracking Questionnaires 1st, 2nd and; 3rd
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Media Tracking Screener and Instrument Yes No Printable Only
Other-Rationale for Item Changes to Media Tracking Instrument Yes No Printable Only
Other-Youth Follow up Instrument Yes No Printable Only
Other-Rational for Item Changes to the Follow up Instrument Yes No Printable Only

Health Immunization Management

 

3,999 0
   
Individuals or Households
 
   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 3,999 0 0 0 0 3,999
Annual IC Time Burden (Hours) 2,001 0 0 0 0 2,001
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Contents of change request 03/04/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.