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

View Information Collection (IC)

EBP-PHPR 0920-0879-19GY
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Yes Yes Fillable Fileable
Form none Yes Yes Fillable Fileable

Health Public Health Monitoring

 

562 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 562 0 562 0 0 0
Annual IC Time Burden (Hours) 328 0 328 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 12/06/2018
Supporting Statement B 12/06/2018
List of Respondents 12/06/2018
ASTHO Advance Email 12/06/2018
NACCHO Advance Email 12/06/2018
NORC Invitation Email 12/06/2018
NORC Reminder Email 12/06/2018
NORC 2nd Reminder Email 12/06/2018
NORC Final Reminder Email 12/06/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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