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"Lyme and other Tickborne Diseases Knowledge, Attitude, and Practice Surveys" 0920-1050-22DA
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1050 A Survey of NJ Mosquito Control Agencies Regarding the Management of Ticks and Tick-borne Disease Att 2 2022 NJ MCA Survey Screenshots.pdf Yes Yes Fillable Fileable
Form and Instruction 0920-1050 Survey of NJ Local and County Public Health Agencies Regarding Tick and Tick=borne Disease Managment Att 3 2022 NJ LCHD Survey Screenshots.pdf Yes Yes Fillable Fileable

Health Illness Prevention

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  86 FR 6591

115 0
   
State, Local, and Tribal Governments
 
   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 115 0 115 0 0 0
Annual IC Time Burden (Hours) 39 0 39 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Email Invitation and Reminder text Att 4 2022 NJ SURVEYS - Email Invitation and Reminder text.docx 03/09/2022
Supporting Statement A Supporting Statement A_GenIC_TickControlSurvey_NJ_021822.docx 03/09/2022
Supporting Statement B Supporting Statement B_GenIC_TickControlSurvey_NJ_021822.docx 03/09/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.