Survey of Private Sector Partners

Evaluation of the Action Plan for the National Public Health Initiative on Diabetes and Womens Health

OMB: 0920-0839

IC ID: 191480

Information Collection (IC) Details

View Information Collection (IC)

Survey of Private Sector Partners
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 Survey of State-based Diabetes Prevention and Control Programs Attachment D Partner Survey.doc Yes Yes Fillable Fileable

Health Illness Prevention

 

100 0
   
Private Sector Not-for-profit institutions
 
   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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment D2 Partner Reminder Attachment D2 Partner Reminder.doc 11/12/2009
Attachment D1 Partner Invitation Attachment D1 Partner Invitation.doc 11/12/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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