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ASPR Temporary Reassignment Request 17AY
 
New
 
Voluntary
 

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

Health Public Health Monitoring

 

60 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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 30 0 30 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 10/18/2016
Supporting Statement B 10/18/2016
Approval from OMB to use 0920-0879 10/18/2016
Guidance for Temporary Reassignment 10/18/2016
FOA language 10/18/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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