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

View Information Collection (IC)

Dating Matters - Rebranding 0920-22IO
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-22IO Att. 1_ DM FGD recruitment & Screening form Att. 1_ DM FGD recruitment & Screening form.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

72 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 72 0 72 0 0 0
Annual IC Time Burden (Hours) 33 0 33 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track HMT 0572 Request Template Health Message Testing_DM_v3_Aug 4 2022.pdf 08/29/2022
GenIC Justification/Description 0572 HTMS Project Description Template_Dating Matters Rebranding_v2.docx 08/29/2022
Follow-up Email Att. 2_ DM FGD follow-up email text.docx 08/29/2022
Att. 3_ DM FGD guides Att. 3_ DM FGD guides.docx 08/29/2022
PIA Dating Matters Rebranding_PIA.pdf 08/29/2022
Request for approval 0572 Request Template Health Message Testing_DM_v3_Aug 4 2022.pdf 08/31/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.