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View Information Collection (IC)

Assessing Key Factors to Pharmacy Enrollments in the Vaccines for Children Program 15BK
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD No   Fillable Fileable

Health Public Health Monitoring

 

30 0
   
State, Local, and Tribal Governments
 
   0 %

  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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 24 0 24 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 10/14/2014
Supporting Statement B 10/14/2014
Att A-Infographic Summary 10/14/2014
Att C - ASTHO Report Summary 10/14/2014
Att D-VFC Project Overview 10/14/2014
Att E-Participants Notification Email 10/14/2014
Att F-SHO Notification Email 10/14/2014
Att G-Reminder E-mail 10/14/2014
Att H-Confirmation Email 10/14/2014
Att I-Thank You E-mail 10/14/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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