View Information Collection (IC)

View Information Collection (IC)

Local Health Department Capacity and Readiness
No Unchanged

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form None Local Health Department Capacity and Readiness Atmt_SS_Local_Health_Department_Capacity_and_Readiness_Survey[1].docx Yes Yes Fillable Fileable

Health Health Care Services


16 0
Individuals or Households
   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 16 0 0 0 0 16
Annual IC Time Burden (Hours) 32 0 0 0 0 32
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.