RHEC Members

Evaluation of the National Partnership for Action to End Health Disparities

OMB: 0990-0406

IC ID: 205844

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

View Information Collection (IC)

RHEC Members
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-forms National Partnership for Action_Attachment C.docx No No Paper Only

Health Illness Prevention

 

350 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 350 0 0 0 0 350
Annual IC Time Burden (Hours) 117 0 0 0 0 117
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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