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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 State Dental Director and Key Oral Health Program Staff Survey Att A. Online Svy Wrd Version March 2025.docx 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 SSA_STLT_DOH_03052025_final.docx 03/20/2025
SSB SSB_STLT_DOH_03052025.docx 03/20/2025
Online Survey Web Version Att B. Online Survey_Web Version.docx 03/20/2025
Pre-Invitation Email Att C. Pre-Invitation Email.docx 03/20/2025
Invitation Email Att D. Invitation Email_2025.docx 03/20/2025
Reminder Email One Week Att E. Reminder Email One Week_2025.docx 03/20/2025
Reminder Email Two Days Att F. Reminder Email Two Days_2025.docx 03/20/2025
Reminder Email Deadline Extension Att G. Reminder Email Deadline Extension.docx 03/20/2025
State Respondents Att H. State Respondents_Mar_2025.docx 03/20/2025
Research Determination Att I. CDC Project Determination.docx 03/20/2025
Comparison of Past and Current Questions Att J. Comparison of Past and Current Questions.xlsx 03/20/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.