Resident Pre-Focus Group Survey - ME, MN, FL

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

OMB: 0920-1004

IC ID: 204448

Information Collection (IC) Details

View Information Collection (IC)

Resident Pre-Focus Group Survey - ME, MN, FL
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Pre-Focus Group Survey Att 13A_Resident Pre-Focus Group Survey.docx No No Paper Only

Health Immunization Management

 

60 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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 5 0 5 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent Att 13A-1_Focus Group Consent.docx 09/27/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy