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Federal forms, ICRs, and supporting documents

Information Collection

Lifetime of Good Health Survey

IC 181301 under ICR 200707-0990-002 · OMB 0990-0319.

Documents and Forms
Document Name
Document Type
Other-survey
Form
Information Collection (IC) Details

View Information Collection (IC)

Lifetime of Good Health Survey
 
No New
 
Voluntary
 
42 CFR 241.301

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey EvaluationofWomensHealthLifetime of Good Health Survey - OWH Publications 7.12.07.doc No No Fillable Printable
Form 1 Good Health Survey Lifetime of Good Health Survey - OWH Publications 102307 (2).doc No   Fillable Printable

Health Public Health Monitoring

 

1,163 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 1,163 0 1,163 0 0 0
Annual IC Time Burden (Hours) 291 0 291 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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