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

View Information Collection (IC)

Workflow information Tracking System (WiTS) Climate Survey (OHR/OD)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Yes Yes Fillable Fileable

Health Health Care Services

 

857 0
   
Individuals or Households
 
   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 857 0 857 0 0 0
Annual IC Time Burden (Hours) 71 0 71 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast track WiTS Survey 2019 10/17/2019
WiTS Climate survey email invitation 10/17/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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