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

View Information Collection (IC)

Acceptability Survey of ARI Campaign for University of Utah Pediatric Clinic Champions 0920-1071-19AJE
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1071 Yes Yes Fillable Fileable
Form and Instruction 0920-1071 Yes Yes Fillable Fileable

Health Illness Prevention

 

206 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 206 0 206 0 0 0
Annual IC Time Burden (Hours) 103 0 103 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Service Delivery Fasttrack Template 06/04/2019
Email Invite 06/04/2019
Consent Letter 06/04/2019
HS Determination 06/04/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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