OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Telephone screen

IC 46268 under ICR 201306-0990-003 · OMB 0990-0308.

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

View Information Collection (IC)

Telephone screen
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Other 0990telephoneriskAppendix B.doc No No Paper Only
Other-Other 0990ModelFallPreventionAppendix A.doc No No Paper Only

Health Illness Prevention

 

177 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 0 0 -177 0 0 177
Annual IC Time Burden (Hours) 0 0 -59 0 0 59
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix C-REDUCING FALLS Appendix C-REDUCING FALLS.pdf 11/09/2006
0990HealthPromotionAppendix D 0990HealthPromotionAppendix D.doc 11/09/2006
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.