NY Mail-in Screener

Biomonitoring of Great Lakes Populations Program

OMB: 0923-0044

IC ID: 201466

Information Collection (IC) Details

View Information Collection (IC)

NY Mail-in Screener
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none NY Mail-in Screener Att6b_NY_MailScreen_LA_20120619.docx No No Paper Only

Health Immunization Management

 

518 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 518 0 518 0 0 0
Annual IC Time Burden (Hours) 43 0 43 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screening cover letter and fact sheet Att6a_NY_FctSht_LA_20120619.docx 09/27/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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