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Federal forms, ICRs, and supporting documents

Information Collection

Modification to El Paso Tx Survey instrument

IC 181378 under ICR 200707-0920-007 · OMB 0920-0726.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Modification to El Paso Tx Survey instrument
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction H-L ATS Questionnaire (All Spanish)_El_Paso.doc Yes No Printable Only
Instruction H-L ATS Questionnaire (English)_El_Paso.doc Yes Yes Printable Only

Health Public Health Monitoring

 

750 0
   
Individuals or Households
 
   66 %

  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 750 0 750 0 0 0
Annual IC Time Burden (Hours) 400 0 400 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Instrument with tracked changes H-L ATS Questionnaire tracked changes.doc 07/19/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.