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

View Information Collection (IC)

Public Health Performance Assessment & Healthy Homes Needs Assessment 14ARP/14ARQ
 
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 and Instruction none No   Paper Only

Health Consumer Health and Safety

 

1,784 0
   
State, Local, and Tribal Governments
 
   75 %

  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 1,784 0 1,784 0 0 0
Annual IC Time Burden (Hours) 449 0 449 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PHP SS Part A 08/29/2014
PHP SS Part B 07/31/2014
PHP Learning Collaborative 07/31/2014
PHP Fact Sheet 07/31/2014
PHP Network Fact Sheet 07/31/2014
PHP Recruitment Email 07/31/2014
PHP Reminder Email 07/31/2014
PHP Assessment - Word Version 07/31/2014
HH SS Part A 08/29/2014
HH SS Part B 07/31/2014
HH Risk by State 07/31/2014
HH Introductory Email 07/31/2014
HH Scheduling Email 07/31/2014
HH Confirmation Email 07/31/2014
HH Reminder Email 07/31/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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