OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Health Education Materials & Questionnaire - Inhaler

IC 204409 under ICR 201301-0935-002 · OMB 0935-0207.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Health Education Materials & Questionnaire - Inhaler
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #3 Health Education Materials & Questionnaire - Asthma/Inhaler Attachment E - Health Education Materials & Questionnaire - Asthma-Inhaler.docx Yes Yes Paper Only

Health Immunization Management

 

48 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 48 0 48 0 0 0
Annual IC Time Burden (Hours) 24 0 24 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.