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

View Information Collection (IC)

Post-clinic Survey 0920-24CB
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-24CB Yes Yes Fillable Fileable
Form 0920-24CB Yes Yes Fillable Fileable

Health Illness Prevention

 

900 0
   
Individuals or Households
 
   0 %

  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 900 0 900 0 0 0
Annual IC Time Burden (Hours) 300 0 300 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Post-Clinic Visit Survey_Thank You Email_Spanish 08/02/2024
Post-Clinic Visit Survey_Thank You Email_English 08/02/2024
Attachment 10k_Post-Clinic Visit Survey_Reminder Email_Spanish 08/02/2024
Post-Clinic Visit Survey_Reminder Email_English 08/02/2024
Post-Clinic Visit Survey_Paper_English 08/02/2024
Post-Clinic Visit Survey_Consent Statement_Spanish 08/02/2024
Post-Clinic Visit Survey_Consent Statement_English 08/02/2024
Post-Clinic Visit Survey_Pre-Notification Email_English 08/02/2024
Post-Clinic Visit Survey_Pre-Notification Email_Spanish 08/02/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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