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Federal forms, ICRs, and supporting documents

Information Collection

Outcomes Data Collection of the National Prevention Information Network Products and Services Users Survey (Telephone) State and Local Govt

IC 182793 under ICR 201103-0920-005 · OMB 0920-0768.

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Outcomes Data Collection of the National Prevention Information Network Products and Services Users Survey (Telephone) State and Local Govt
 
No Removed
 
Voluntary
 
42 CFR 241

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Appendix H NIPN Product & Services User Servey Telephone Script.doc No No Printable Only

Health Illness Prevention

 

25 0
   
State, Local, and Tribal Governments
 
   0 %

  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 0 0 -50 0 0 50
Annual IC Time Burden (Hours) 0 0 -13 0 0 13
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.