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Information Collection

Health And Employment Survey

IC 115358 under ICR 198308-0960-009 · OMB 0960-0346.

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Information Collection (IC) Details

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HEALTH AND EMPLOYMENT SURVEY
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability


    

350 0
   
Individuals or Households
 
   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 350 0 350 0 0 0
Annual IC Time Burden (Hours) 117 0 117 0 0 0
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.