Health Intermediaries- Screener

Prevention Communication Formative Research

OMB: 0990-0281

IC ID: 186091

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Information Collection (IC) Details

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Health Intermediaries- Screener
 
New
 
Voluntary
 
5 CFR 1320.5

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

75 0
   
Individuals or Households
 
   0 %

  Requested 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 75 0 0 0 0 0
Annual IC Time Burden (Hours) 13 0 0 0 0 0
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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