MN Participant Questionnaire

Biomonitoring of Great Lakes Populations Program

OMB: 0923-0044

IC ID: 201463

Information Collection (IC) Details

View Information Collection (IC)

MN Participant Questionnaire
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none MN Participant Questionnaire Att5e_MN_StdyPartQs_20120619.doc Yes Yes Fillable Fileable

Health Immunization Management

 

250 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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 125 0 125 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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