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

View Information Collection (IC)

[NCEZID] Hospital System Approach to Collecting Race, Ethnicity, and Language Data 0920-1154-24FT
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 092061154 Yes Yes Fillable Fileable

Health Public Health Monitoring

 

13 0
   
Private Sector Businesses or other for-profits
 
   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 13 0 0 0 0 13
Annual IC Time Burden (Hours) 7 0 0 0 0 7
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for genIC Approval (24FT) 05/28/2024
SSA (24FT) 05/28/2024
SSB (24FT) 05/15/2024
IRB Determination (24FT) 05/15/2024
CoLab REaLI_Partner's final letter (24FT) 05/28/2024
CoLab REaLI_2nd reminder w/email (24FT) 05/15/2024
CoLab REaLI_final reminder email (24FT) 05/15/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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