Survey on Rural Community Wealth and Health Care Provision - health provider nonrespondents in pilot study

Survey on Rural Community Wealth and Health Care Provision

OMB: 0536-0072

IC ID: 202484

Documents and Forms
Document Name
Document Type
Other-Advance letter, disclosures, &
Information Collection (IC) Details

View Information Collection (IC)

Survey on Rural Community Wealth and Health Care Provision - health provider nonrespondents in pilot study
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Advance letter, disclosures, & brochure for pilot study Annex H_Advance letter, disclosures, & brochure_7-12.docx Yes No Printable Only

Health Health Care Services

 

20 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 20 0 20 0 0 0
Annual IC Time Burden (Hours) 5 0 5 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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