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

View Information Collection (IC)

Assessment of State Public Health Department Immunization Billing Reimbursement Projects
 
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

Health Immunization Management

 

35 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 35 0 35 0 0 0
Annual IC Time Burden (Hours) 20 0 20 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A 11/14/2013
Supporting Statement Part B 11/14/2013
Billables Project Assessment Word Version 11/14/2013
Vaccine Financing Recommendations 11/14/2013
Funded Awardees Map 11/14/2013
Billables Program Plan 11/14/2013
NACCHO Report 11/14/2013
ASTHO Article 11/14/2013
Journal Article 11/14/2013
Billables Contact List 11/14/2013
Introductory Email 11/14/2013
Follow-up Email 11/14/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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