OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

CDC INFO - Web survey for email inquirers (English and Spanish)

IC 180271 under ICR 201203-0920-004 · OMB 0920-0753.

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

View Information Collection (IC)

CDC INFO - Web survey for email inquirers (English and Spanish)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0753 Atachment H Web Survey for Email Inquirers (Spanish) Attachment H Web Survey Email (Spanish).doc Yes Yes Fillable Printable
Form and Instruction 0920-0753 Attachment G Web Survey for Email Inquirers (English) Attachment G Web Survey Email (English).doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

1,460 0
   
Individuals or Households
 
   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 1,460 0 0 0 0 1,460
Annual IC Time Burden (Hours) 73 0 0 0 0 73
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.