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View Information Collection (IC)

GenIC Testing of Spanish-language Messages for the National Diabetes 16AWH
 
New
 
Voluntary
 

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

Health Illness Prevention

 

90 0
   
Individuals or Households
 
   6 %

  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 180 0 180 0 0 0
Annual IC Time Burden (Hours) 158 0 158 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HMTS Supplement Document 08/02/2016
HMTS Expedited Review Request 08/02/2016
App 2_ English-Spanish Messages 08/02/2016
App 3_In-person Consumer FGs 08/02/2016
App 4_On-line Consure FGs 08/02/2016
App 5_Family Member In-person FG 08/02/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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