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Federal forms, ICRs, and supporting documents

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Get Alarmed North Carolina! Household visit

IC 190629 under ICR 200909-0920-002 · OMB 0920-0730.

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

View Information Collection (IC)

Get Alarmed North Carolina! Household visit
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 Get Alarmed North Carolina! Household visit Part 2 Worksheet.Household Visit_83-I_.doc No No Paper Only

Health Illness Prevention

 

36 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 36 0 36 0 0 0
Annual IC Time Burden (Hours) 36 0 36 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.