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Sickle Cell Disease and Newborn Screening Program (SCDNBSP) Evaluation - MDP SCD Questioniare

IC 197487 under ICR 201204-0915-001 · OMB 0915-0344.

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

View Information Collection (IC)

Sickle Cell Disease and Newborn Screening Program (SCDNBSP) Evaluation - MDP SCD Questioniare
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction ATTACH_D_NCEC_SCDNBSP_Instruments_11_14_11 revision.docx Yes No Printable Only
Form and Instruction 1 SCD Questionnaire Form Clean Minimum Database Project SCD Questionnaire Form_4_5_12.docx Yes Yes Fillable Fileable

Health Health Care Services

 

140 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 280 0 0 0 0 280
Annual IC Time Burden (Hours) 126 0 0 0 0 126
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.