Safety Net Consumer Survey Round 1

Evaluation of the Text4baby Program

OMB: 0915-0347

IC ID: 200138

Information Collection (IC) Details

View Information Collection (IC)

Safety Net Consumer Survey Round 1
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Safety Net Consumer Survey R1 Attachment B1 Round1 HPP Survey modified.docx Yes Yes Fillable Fileable

Health Health Care Services

 

960 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 960 0 0 0 0 960
Annual IC Time Burden (Hours) 317 0 0 0 0 317
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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