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

View Information Collection (IC)

FLU Vaccines Section Usability Testing 16ATM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screenshots Yes Yes Paper Only
Instruction Yes Yes Printable Only
Instruction Yes Yes Paper Only

Health Public Health Monitoring

 

400 0
   
Individuals or Households
 
   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 400 0 400 0 0 0
Annual IC Time Burden (Hours) 67 0 67 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval 09/19/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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