Mail Verification Form for Baseline and 6-Month Fllow-up Visits (1% subsample)

Children's Health after the Storms (CHATS)

OMB: 0920-0925

IC ID: 199172

Information Collection (IC) Details

View Information Collection (IC)

Mail Verification Form for Baseline and 6-Month Fllow-up Visits (1% subsample)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Mail Verification for Interview Attachment R.docx Yes No Paper Only

Health Immunization Management

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

5 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 5 0 5 0 0 0
Annual IC Time Burden (Hours) 0 0 0 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.

© 2024 OMB.report | Privacy Policy