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Evaluation of Viral Hepatitis B Educational Slide Materials

IC 6972 under ICR 200109-0920-002 · OMB 0920-0526.

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IC Title:	Evaluation of Viral Hepatitis B Educational Slide Materials	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,456	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,456	2,456
Annual IC Time Burden (Hours)	614	614
Annual IC Cost Burden (Dollars)	0	0

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