OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Tainted Beverage_Mozambique

IC 214724 under ICR 201601-0920-017 · OMB 0920-1011.

Documents and Forms
Document Name
Document Type
Other-WORD
Other-WORD
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Tainted Beverage_Mozambique 15ME
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Appendix 1. Questionnaire - English.docx No   Paper Only
Other-WORD Appendix 2. Questionnaire - Portuguese.docx No   Paper Only

Health Illness Prevention

 

250 0
   
Individuals or Households
 
   0 %

  Requested 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 250 0 0 0 0 250
Annual IC Time Burden (Hours) 83 0 0 0 0 83
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter of Invitation Letter of Invitation.PDF 01/22/2015
Request for Approval 2015005-XXX_Tainted Beverage_Mozambique.docx 01/22/2015
Email with Burden URGENT 0920-1011 GenIC Request 2015005-XXX Tainted Beverage_Mozambique.msg 01/22/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.