CDC Oral Health Management Information System - MIS Data Collection Instrument

CDC Oral Health Management Information System

OMB: 0920-0739

IC ID: 178975

Information Collection (IC) Details

View Information Collection (IC)

CDC Oral Health Management Information System - MIS Data Collection Instrument
 
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 None 0920-05CI Attachment 5 - Proposed MIS Data Collection Instrument 1-31-2007 0920-05CI Attachment 5 - Proposed MIS Data Collection Instrument 1-31-2007.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

13 0
   
State, Local, and Tribal Governments
 
   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 26 0 0 0 0 26
Annual IC Time Burden (Hours) 286 0 52 0 0 234
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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