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

View Information Collection (IC)

Be Antibiotic Aware Campaign 0920-0572-19BQR
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Focus group guide Yes No Paper Only
Form and Instruction none Yes Yes Fillable Fileable
Other-Focus group guide Yes No Paper Only
Form and Instruction none Yes Yes Fillable Fileable
Other-Focus group guide Yes No Paper Only
Other-Focus group guide Yes No Paper Only
Form and Instruction none Yes Yes Fillable Fileable
Form and Instruction none Yes Yes Fillable Fileable
Other-Focus group guide Yes No Paper Only
Form and Instruction none Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

464 0
   
Individuals or Households
 
   86 %

  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 464 0 464 0 0 0
Annual IC Time Burden (Hours) 129 0 129 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent for SS women - English 09/12/2019
Consent for SS women - Spanish 09/12/2019
Consent for consumers 09/12/2019
Brochure - Abx side effects - adults 09/12/2019
Brochure - AU - adults 09/12/2019
Brochure - Viral illnes Rx Pad - adults 09/12/2019
Brochure - What's got you sick - adults 09/12/2019
Brochure - Abx side effects - caregivers 09/12/2019
Brochure - AU - caregivers 09/12/2019
Brochure - Commitment about Abx - caregivers 09/12/2019
Brochure - What's got you sick - caregivers 09/12/2019
Brochure - AU - SS women 09/12/2019
Brochure - Viral illness Rx Pad - SS women 09/12/2019
Brochure - What's got you sick - SS women 09/12/2019
Brochure - AU - urgent care 09/12/2019
Brochure - What is AR bacteria - urgent care 09/12/2019
Brochure - Viral illness Rx Pad - urgent care 09/12/2019
Brochure - What's got you sick - urgent care 09/12/2019
Attachment A 09/12/2019
Attachment B 09/12/2019
genIC Request Form 09/12/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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