OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Prevention Demonstration Project

IC 190515 under ICR 200908-0990-009 · OMB 0990-0299.

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

View Information Collection (IC)

Prevention Demonstration Project
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction eoy_instructions_care _and_prevention_doc_final.doc Yes Yes Paper Only
Other-survey EOY prevention template_final_8-13-09.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

35 0
   
Private Sector Businesses or other for-profits
 
   25 %

  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 35 0 35 0 0 0
Annual IC Time Burden (Hours) 2,275 0 2,275 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.