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

View Information Collection (IC)

IZ CORE 15CB
 
New
 
Voluntary
 

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

Health Health Care Services

 

64 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 64 0 64 0 0 0
Annual IC Time Burden (Hours) 64 0 64 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 12/10/2014
Supporting Statement B 12/10/2014
Attachment B_Invitation and Overview 12/10/2014
Attachment C_ Reminder E-mail 12/10/2014
Attachment D_Confirmation 12/10/2014
Attachment E_Thank You Email 12/10/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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