Information Collection

Easy Guide to Breastfeeding Survey

IC 46755 under ICR 200701-0990-006 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Lifetime of Good Health Survey FINAL 7-10-06.doc Lifetime of Good Health Survey	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 241.301

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 48

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Lifetime of Good Health Survey	Lifetime of Good Health Survey FINAL 7-10-06.doc	11/29/2006

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