MUH Resident Baseline Survey - screening LA county

Adoption, Health Impact and Cost of Smoke-Free Multi-Unit Housing Policies

OMB: 0920-1004

IC ID: 204440

Information Collection (IC) Details

View Information Collection (IC)

MUH Resident Baseline Survey - screening LA county
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Resident Baseline Survey - screener - English Att 8A(e)_MUH Resident Baseline Survey_8 30 2012.doc No No Paper Only
Form none Resident Baseline Survey - screener Spanish Att 8A(s)_MUH Resident Baseline Survey_8 30 2012.doc No No Paper Only

Health Immunization Management

 

833 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 833 0 833 0 0 0
Annual IC Time Burden (Hours) 69 0 69 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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