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Federal forms, ICRs, and supporting documents

Information Collection

Applicability and Use of The Community Guide Among National Association of County and City Health Officials (NACCHO) Members

IC 225548 under ICR 201606-0920-007 · OMB 0920-0974.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
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Applicability and Use of The Community Guide Among National Association of County and City Health Officials (NACCHO) Members 0920-17PA
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Applicability and Use of The Community Guide Among NACCHO Members (screenshots) Screenshots of NACCHO Survey 2-2-17.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

300 0
   
State, Local, and Tribal Governments
 
   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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 75 0 75 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Email Invitation to Participate Provide Feedback on The Community Guide invitation email script NACCHO 2-2-17.docx 02/02/2017
Email Follow-up Reminder Provide Feedback on The Community Guide follow-up email script NACCHO 2-2-17.docx 02/02/2017
Template Request Fast_Track_GenIC_Request CGB Customer feedback NACCHO 2-2-2017.docx 02/02/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.