NOAA Teacher-At-Sea Program Participant Application and Health Services Questionnaire

NOAA Teacher-At-Sea Program

OMB: 0648-0283

IC ID: 4196

Information Collection (IC) Details

View Information Collection (IC)

NOAA Teacher-At-Sea Program Participant Application and Health Services Questionnaire
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA NOAA Teacher At Sea Program Participant Application 0283 revised form a.pdf Yes No Fillable Printable
Form and Instruction NA NOAA Health Services Questionnaire 0283 NOAA Health Services Questionnaire.pdf No   Paper Only

Natural Resources Conservation, Marine and Land Management

 

125 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 125 0 -295 0 0 420
Annual IC Time Burden (Hours) 156 0 -153 0 0 309
Annual IC Cost Burden (Dollars) 280 0 -720 0 0 1,000

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