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

View Information Collection (IC)

VCP_VACC Provider Survey 2900-0770
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-1500210(WS) Yes Yes Fillable Printable
Form and Instruction 10-1500209(WS) Yes Yes Fillable Printable
Instruction No   Paper Only
Other-Reminder Letter No   Paper Only

Health Health Care Services

 

4,000 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 4,000 0 4,000 0 0 0
Annual IC Time Burden (Hours) 667 0 667 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Request_VCP 12/21/2016
Generic Reuqest_VACC 12/14/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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