Survey on Rural Community Wealth and Health Care Provision - respondents in pilot study screening

Survey on Rural Community Wealth and Health Care Provision

OMB: 0536-0072

IC ID: 202475

Documents and Forms
Document Name
Document Type
Other-Screen sript for pilot study
Information Collection (IC) Details

View Information Collection (IC)

Survey on Rural Community Wealth and Health Care Provision - respondents in pilot study screening
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screen sript for pilot study Annex J_Script for sample development_7-12.docx Yes No Printable Only

General Government Central Records & Statistical Mgt

 

80 0
   
Individuals or Households
 
   0 %

  Requested 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 80 0 80 0 0 0
Annual IC Time Burden (Hours) 20 0 20 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.

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