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

View Information Collection (IC)

Self Administered Forms (Mother) 16PA
 
No New
 
Voluntary
 

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

Health Health Care Services

09-20-0136: Epidemiologic Studies and Surveillance of Disease Problems   57 FR 62812

375 0
   
Individuals or Households
 
   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 375 0 375 0 0 0
Annual IC Time Burden (Hours) 656 0 656 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 8e_CoverSheet 10/19/2016
Att 8f_Coversheet 10/19/2016
Att 8g_CoverSheet 10/19/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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