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

View Information Collection (IC)

TB DST Reference Center for MTBC Assessment – Online Survey 0920-1027-17FL
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA NA Yes Yes Fillable Fileable

Health Illness Prevention

 

24 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 24 0 24 0 0 0
Annual IC Time Burden (Hours) 4 0 4 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NPHL DST Reference Center for MTBC Survey - WORD 11/30/2016
Research Determination 11/30/2016
GenIC 0920-1027 Checklist 11/30/2016
0920-1027 GenIC Request 11/30/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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