View Information Collection (IC)

View Information Collection (IC)

No Unchanged
Required to Obtain or Retain Benefits

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Federal CCF Federal CCF Att D 2013_FedCCF_PROOFtoHHS_130730 Final.pdf Yes Yes Fillable Printable

Health Public Health Monitoring


6,150,000 0
Federal Government
   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 6,150,000 0 0 0 0 6,150,000
Annual IC Time Burden (Hours) 410,000 0 0 0 0 410,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.