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Assessment of Historically Black Colleges and Universities Activities to Eliminate Health Disparities

IC 45007 under ICR 200608-0915-001 · OMB 0915-0303.

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IC Document
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Assessment of Historically Black Colleges and Universities Activities to Eliminate Health Disparities
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form instrument #1 HBCU Survey hbcu tab c.doc Yes Yes Fillable Fileable
Form instrument #1 HBCU survey HBCU Revised Survey.doc Yes Yes Fillable Fileable

Health

 

525 0
   
Private Sector Not-for-profit institutions
 
   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 525 0 525 0 0 0
Annual IC Time Burden (Hours) 394 0 394 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HBCU consent form hbcu tab e.doc 08/30/2006
HBCU Letter hbcu tab d.doc 08/30/2006
HBCU list hbcu tab f.doc 08/30/2006
HBCU letter and consent form hbcu letter and consent OMB.doc 12/15/2006
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.