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

View Information Collection (IC)

[NCIPC] Screening Survey for focus groups and interviews 0920-1154-24CC
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1154-24CC No   Fillable Fileable
Instruction No   Printable Only
Instruction No   Printable Only
Instruction No   Printable Only
Instruction No   Printable Only
Instruction No   Printable Only
Instruction No   Printable Only
Form and Instruction 0920-1154 (24CC) Yes Yes Paper Only
Form and Instruction 0920-1154 (24CC) No   Paper Only

Health Public Health Monitoring

 

64 0
   
Individuals or Households
 
   100 %

  Requested 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 64 0 0 0 0 64
Annual IC Time Burden (Hours) 81 0 0 0 0 81
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSB (24CC) 01/22/2024
NCIPC OMB PII and Privacy Act Determination 01/22/2024
Memo GenIC Clearance (24CC) 01/26/2024
Support Statement A_AI_AN Discharge Instructions_01.10.24 01/29/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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