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Federal forms, ICRs, and supporting documents

Information Collection

Influenza Immunization Grant Activity

IC 165685 under ICR 198107-0920-010 · OMB 0920-0038.

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Information Collection (IC) Details

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INFLUENZA IMMUNIZATION GRANT ACTIVITY
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 5, 6 No No
Form CDC 10.30-5 No No


    

52 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 312 0 0 0 0 312
Annual IC Time Burden (Hours) 559 0 0 0 0 559
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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