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[PHIC] State Dental Director and Key Oral Health Program Staff Survey (2025) 0920-25-0051
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Yes Yes Fillable Fileable

Health Public Health Monitoring

 

19 0
   
State, Local, and Tribal Governments
 
   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 19 0 19 0 0 0
Annual IC Time Burden (Hours) 14 0 14 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA 03/20/2025
SSB 03/20/2025
Online Survey Web Version 03/20/2025
Pre-Invitation Email 03/20/2025
Invitation Email 03/20/2025
Reminder Email One Week 03/20/2025
Reminder Email Two Days 03/20/2025
Reminder Email Deadline Extension 03/20/2025
State Respondents 03/20/2025
Research Determination 03/20/2025
Comparison of Past and Current Questions 03/20/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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