DELTA FOCUS Survey

DELTA FOCUS Program Evaluation

OMB: 0920-0984

IC ID: 207693

Documents and Forms
Information Collection (IC) Details

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DELTA FOCUS Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none DELTA FOCUS Survey Attachment 3a Survey Instrument - Screenshots.pdf Yes Yes Fillable Fileable

Health Immunization Management

 

49 0
   
State, Local, and Tribal Governments
 
   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 49 0 49 0 0 0
Annual IC Time Burden (Hours) 49 0 49 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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