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

View Information Collection (IC)

State Oral Health and Chronic Disease Programs Integration Assessment 0920-19EF
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a No   Paper Only

Health Illness Prevention

 

12 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 12 0 12 0 0 0
Annual IC Time Burden (Hours) 10 0 10 0 0 0
Annual IC Cost Burden (Dollars) 547 0 547 0 0 0

Title Document Date Uploaded
Supporting Statement Part A 11/15/2018
Supporting Statement Part B 11/15/2018
Respondent Breakdown 11/15/2018
Invitation Email for Telephone Interview 11/15/2018
Reminder Email for Telephone Interview 11/15/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.