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

View Information Collection (IC)

DIR Objective Review Assessment Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes Yes Fillable Fileable
Form and Instruction 1 Yes Yes Fillable Printable
Form and Instruction 2 Yes Yes Fillable Fileable
Form and Instruction 3 Yes Yes Fillable Fileable
Form and Instruction 1A Yes Yes Fillable Fileable
Form and Instruction 1B Yes Yes Fillable Fileable
Form and Instruction 1C Yes Yes Fillable Fileable
Form and Instruction 2A Yes Yes Fillable Fileable
Form and Instruction 2B Yes Yes Fillable Fileable
Form and Instruction 2C Yes Yes Fillable Fileable
Form and Instruction 2D Yes Yes Fillable Fileable
Form and Instruction 2E Yes Yes Fillable Fileable
Form and Instruction 2F Yes Yes Fillable Fileable
Form and Instruction 3A Yes Yes Fillable Fileable
Form and Instruction 3B Yes Yes Fillable Fileable
Form and Instruction 3C Yes Yes Fillable Fileable
Form and Instruction 3E Yes Yes Fillable Fileable
Form and Instruction 3D Yes Yes Fillable Fileable
Form and Instruction 3F Yes Yes Fillable Fileable
Form and Instruction 3G Yes Yes Fillable Fileable
Form and Instruction 3H Yes Yes Fillable Fileable

Health Public Health Monitoring

 

900 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 900 0 0 0 0 900
Annual IC Time Burden (Hours) 450 0 0 0 0 450
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
DIR Objective Survey Review 03/04/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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