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

View Information Collection (IC)

Website Usability Test for Division of Overdose Prevention Websites 0920-1050-20QY
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1050 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1050 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1050 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1050 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1050 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1050 NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

108 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 108 0 108 0 0 0
Annual IC Time Burden (Hours) 34 0 34 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Privacy Applicability 08/07/2020
Website Usability Consent (Public / Healthcare Provider) 08/07/2020
GenIC Request - Website Usability 08/07/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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