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View Information Collection (IC)

Customer Feedback on ATSDR's Coping with Stress Fact Sheet 0923-17ANY
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Feedback Form and Follow-up Interview Questions Appendix A_Stress Fact Sheet Feedback Form and Interview Questions.docx No   Fillable Printable

Health Consumer Health and Safety

 

20 0
   
State, Local, and Tribal Governments
 
   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 20 0 20 0 0 0
Annual IC Time Burden (Hours) 7 0 7 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Completed Template for Agency Service Delivery Submissions 0923-0047 Gen_Clearance_Customer_Feedback_Stress_Fact_Sheet.pdf 08/07/2017
Coping with Stress Fact Sheet Appendix B_ATSDR Stress Fact Sheet.pdf 08/07/2017
Supporting Materials (Tips) for Using the Fact Sheet Appendix C_Stress Fact Sheet Supporting Materials.docx 08/07/2017
NCEH ATSDR Human Subjects Research Determination Form Appendix D ATSDR RDF Stress Fact Sheet Feedback_DCHI signed OS.pdf 08/07/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.