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Federal forms, ICRs, and supporting documents

Information Collection

Local and State Health Department Involvement wit Health Care Coalitions (HCCs)

IC 206683 under ICR 201203-0990-001 · OMB 0990-0391.

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

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Local and State Health Department Involvement wit Health Care Coalitions (HCCs)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-form 0990-0391 ASTHO HPP Project Proposed Discussion Questions 4 18 2013 (2).docx No No Paper Only

Health Illness Prevention

 

64 0
   
State, Local, and Tribal Governments
 
   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 64 0 0 0 0 0
Annual IC Time Burden (Hours) 96 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0990-0391 Generic Clearance HPP ASTHO NACCHO Task G Tobin 4 18 2013 (3) 0990-0391 Generic Clearance HPP ASTHO NACCHO Task G Tobin 4 18 2013 (3).docx 04/24/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.