Baseline: Session 1 (Parent Modules)

Children's Health after the Storms (CHATS)

OMB: 0920-0925

IC ID: 199163

Information Collection (IC) Details

View Information Collection (IC)

Baseline: Session 1 (Parent Modules)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none CHATS Attachment L_revised_02272012 CHATS Attachment L_revised_02272012.docx Yes Yes Fillable Fileable

Health Immunization Management

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

250 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 250 0 0 0 0 250
Annual IC Time Burden (Hours) 250 0 0 0 0 250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Spanish Baseline Module CHATS Attachment L OMB_Baseline Session_1_Spanish.docx 04/16/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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