OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Less than 500 affected individuals

IC 190797 under ICR 201001-0990-001 · OMB 0990-0346.

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

View Information Collection (IC)

Less than 500 affected individuals
 
No Modified
 
Voluntary
 
45 CFR 160

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

Health Illness Prevention

 

50 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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 400 0 0 0 0 400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.