Community Participant Emgagement Feedback Survey

National Healthy Worksite Program

OMB: 0920-0965

IC ID: 202682

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

View Information Collection (IC)

Community Participant Emgagement Feedback Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-null Attachment_E-10_Community_Participant_Follow_Up_Survey.docx Yes Yes Fillable Printable

Health Public Health Monitoring

 

40 13
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 7 0 7 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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