OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Non-Parcipating Household (Screened)

IC 192632 under ICR 201208-0955-012 · OMB 0955-0012.

Documents and Forms
Document Name
Document Type
Other-sreener
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Non-Parcipating Household (Screened)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-sreener 0990-Attachment_C_HISPC_Screener_2010_final_OMB#placeholder-V2.doc No No Paper Only

Health Public Health Monitoring

 

22,845 0
   
Individuals or Households
 
   0 %

  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 22,845 0 22,845 0 0 0
Annual IC Time Burden (Hours) 762 0 762 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Bibliography 0990-attitidestowardAttachment_B_Lit_Review_Bibliography.doc 03/22/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.