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

View Information Collection (IC)

OT18-1802: Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation's Health 0920-1050-22CS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1050 Survey Questionnaire Attachment C. REDCap Survey Questions.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

39 0
   
Private Sector Not-for-profit institutions
 
   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 39 0 39 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recipient List Attachment A. OT18-1802 Recipient List.pdf 02/14/2022
Survey Email Invite Attachment B. Survey Invitation Email.pdf 02/14/2022
Survey Questionnaire Screenshots Attachment D. REDCap Survey Screenshots_with Instructions.pdf 02/14/2022
OMB Control Header and Burden Statement OMB Control Header and Burden Statement.docx 02/14/2022
GenIC Request Template OT18-1802 SA_Customer Service 1050 GenIC Clearance Template_02.03.2022_final.docx 02/14/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.