OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

500 or more affected Individuals

IC 190796 under ICR 201302-0945-002 · OMB 0945-0001.

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

View Information Collection (IC)

500 or more affected Individuals
 
No Modified
 
Voluntary
 
45 CFR 160

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Illness Prevention

 

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 0 194 0 0 56
Annual IC Time Burden (Hours) 12,500 0 10,036 0 0 2,464
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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