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

View Information Collection (IC)

[OADC] Still Going Strong Campaign Expansion Pilot Testing Survey 0920-0572-23IF
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Survey Invitation Att. C. Survey invitation.pdf Yes Yes Fillable Fileable
Form and Instruction n/a General Older Adults Survey Att. D. General Older Adults Survey.docx Yes Yes Fillable Fileable
Form and Instruction n/a Tribal Elders Survey Att. E. Tribal Elders SGS Survey.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,400 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 1,400 0 1,400 0 0 0
Annual IC Time Burden (Hours) 128 0 128 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Privacy Assessment Att. A. Privacy Act-Determination HMT-Still Going Strong.pdf 09/18/2023
Project Description Att. B. Project Description Still Going Strong Campaign_final.docx 09/18/2023
Radio edit Att. F. CDC Radio 30 MIX 8-7-23 (2).mp3 09/18/2023
Expedited Form Request Expedited Form Request HMT-Still Going Strong_final.pdf 09/18/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.