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

View Information Collection (IC)

(genIC) Feedback Survey for Community Counts Data Viz Tool 0920-1154-20RS
 
New
 
Voluntary
 

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

Health Public Health Monitoring

 

300 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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 15 0 15 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval 09/17/2020
SSA 09/17/2020
SSB 09/17/2020
IRB Determination 09/17/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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