Wellness Challenge Logs (Employee) - Lower Your Weight by Eight

National Healthy Worksite Program

OMB: 0920-0965

IC ID: 202687

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Document Type
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Information Collection (IC) Details

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Wellness Challenge Logs (Employee) - Lower Your Weight by Eight
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att F-5_WellnessChallengeLogs.pdf.docx No No Paper Only

Health Immunization Management

 

2,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 2,000 0 2,000 0 0 0
Annual IC Time Burden (Hours) 2,000 0 2,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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