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Federal forms, ICRs, and supporting documents

Information Collection

2014 673 HRSA BPHC Health Care Program Survey - 2014 674 EOSDIS Questionnaire

IC 212539 under ICR 201209-1090-001 · OMB 1090-0007.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

2014 673 HRSA BPHC Health Care Program Survey - 2014 674 EOSDIS Questionnaire 673 - 674
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 673 2014 673 HRSA BPHC Health Center Program Survey 2014 673 HRSA BPHC Health Center Program Survey Final.docx Yes Yes Fillable Fileable
Form and Instruction 674 2014 674 EOSDIS Questionnaire 2014 674 EOSDIS Questionnaire.docx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

4,000 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 4,000 0 4,000 0 0 0
Annual IC Time Burden (Hours) 1,200 0 1,200 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.