MN Participation Record

Biomonitoring of Great Lakes Populations Program

OMB: 0923-0044

IC ID: 201465

Documents and Forms
Information Collection (IC) Details

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MN Participation Record
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none MN Participation Record Att5g_MN_PrtcptRcrd_20120712.docx No No Paper Only

Health Immunization Management

 

250 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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 4 0 4 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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