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

View Information Collection (IC)

BE Review (Built Environment) Healthy Community Design: Assessment of Local Health and Planning Departments 15SB
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None None Yes Yes Fillable Fileable
Form and Instruction None None Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

1,130 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 1,130 0 1,130 0 0 0
Annual IC Time Burden (Hours) 283 0 283 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 03/06/2015
Supporting Statement B 03/06/2015
LHD Instrument - WORD 03/06/2015
Planner Instrument - WORD 03/06/2015
2004 Assessment Report 03/06/2015
APA Advance Email 03/06/2015
NACCHO Advance Email 03/06/2015
Reminder Email Non-Response 10 Day APA 03/06/2015
Reminder Emial Non-Response 10 Day NACCHO 03/06/2015
Reminder Email Non-Response 15 Day APA 03/06/2015
Reminder Email Non-Response 15 Day NACCHO 03/06/2015
Reminder Email 10 Day Partial APA 03/06/2015
Reminder Email 10 Day Partial NACCHO 03/06/2015
Reminder Email 15 Day Partial APA 03/06/2015
Reminder Email 15 Day Partial NACCHO 03/06/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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