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

View Information Collection (IC)

Retrieving and Refiling Records - Public Agencies
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Yes Yes Fillable Fileable
Other-Specifications for Data items to be Abstracted No   Printable Only

Health Illness Prevention

 

52 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 65,676 0 32,576 0 0 33,100
Annual IC Time Burden (Hours) 32,838 0 16,288 0 0 16,550
Annual IC Cost Burden (Dollars) 897,791 0 897,791 0 0 0

Title Document Date Uploaded
Screen Shots for SUDORS 10/25/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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