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CDCModel Performance Evaluation Program (MPEP) Laboratory Change Form

IC 182464 under ICR 200710-0920-010 · OMB 0920-0274.

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

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CDCModel Performance Evaluation Program (MPEP) Laboratory Change Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Laboratory Change Form Attachment 8 HIICF_domestic.doc Yes Yes Printable Only

Health Public Health Monitoring

 

20 0
   
Private Sector Businesses or other for-profits, 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 20 0 20 0 0 0
Annual IC Time Burden (Hours) 1 0 1 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Laboratory Change Form Foreign Countries Attachment 8 HIICF_earlyShip.doc 08/07/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.