View Information Collection (IC)

View Information Collection (IC)

Flexible Consumer Behavior Survey Phone Follow-up 0920-0950
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Flexible Consumer Behavior Survey Att_3j_FCBS form 5_3_2018 082918.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0167 Health Resources Utilization Statistics  49 FR 37693

5,000 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 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 1,667 0 0 0 0 1,667
Annual IC Cost Burden (Dollars) 39,350 0 39,350 0 0 0

Title Document Date Uploaded
FCBS Description Att_3i_FCBS Deescription 072718.docx 09/13/2018
FCBS Hand Cards Att_3k_FCBS_Hand Cards 072718.docx 09/13/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.