State and Local Health Departments

Evaluation of Implementation of the Viral Hepatitis Action Plan

OMB: 0990-0408

IC ID: 206335

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

View Information Collection (IC)

State and Local Health Departments
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-interview guide 18521_ID-0990-ViralHepatitis- 4 Local health dept interview guide.docx No No Paper Only

Health Illness Prevention

 

16 0
   
State, Local, and Tribal Governments
 
   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 16 0 16 0 0 0
Annual IC Time Burden (Hours) 12 0 12 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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