OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Final In person interview

IC 207592 under ICR 201306-0990-003 · OMB 0990-0308.

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

View Information Collection (IC)

Final In person interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-screen 0990-0308 Appendix B.doc No No Paper Only
Other-interview 0990-0308 Appendix C.doc No No Paper Only

Health Illness Prevention

 

167 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 167 0 167 0 0 0
Annual IC Time Burden (Hours) 209 0 209 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0990-0308 Appendix A 0990-0308 Appendix A.doc 06/27/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.