OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Welcome to the Health and Media Survey

IC 204660 under ICR 201210-0920-013 · OMB 0920-0967.

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

View Information Collection (IC)

Welcome to the Health and Media Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Welcome to the Health and Media Survey Attachment 5a_Welcome to the Health and Media Survey.docx Yes Yes Fillable Fileable
Form and Instruction None 5b Welcome to the Health and Media Survey Attachment 5b (rev) Welcome to the Health and Media Survey Screenshot.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

25,665 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 25,665 0 25,665 0 0 0
Annual IC Time Burden (Hours) 1,283 0 1,283 0 0 0
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.