OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

African-American Women, Community Health Educators

IC 187933 under ICR 200806-0925-002 · OMB 0925-0486.

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

View Information Collection (IC)

African-American Women, Community Health Educators
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 instrument NIDDK_1301_05_Promoter Track Survey Instrument.doc Yes Yes Paper Only
Form and Instruction 2 instrument NIDDK_1301_05_User_Track_Survey Instrument.doc Yes Yes Paper Only

Health Health Care Services

 

115 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 115 0 0 0 0 0
Annual IC Time Burden (Hours) 10 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NIDDK_1301_05_User satisfaction survey OMB Generic Clearance Mini Supporting Statement NIDDK_1301_05_User satisfaction survey OMB Generic Clearance Mini Supporting Statement.doc 01/16/2009
NIDDK_1301_05_Generic Clearance Form NIDDK_1301_05_Generic Clearance Form.doc 01/16/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.