OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Health Facility Assessment and Case Finding Survey

IC 213621 under ICR 201501-0920-017 · OMB 0920-1033.

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

View Information Collection (IC)

Health Facility Assessment and Case Finding Survey 0920-15CN
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-15CN Attachment M_Health Facility Assessment and Case Finding Survey Attachment M_Health Facility Assessment and Case Finding Survey.docx Yes No Fillable Printable

Health Illness Prevention

Ebola Emergency Investigation Case Records Systems Notice  51 FR 42466

300 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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 150 0 0 0 0 150
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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