Baseline Survey

Out, Proud and Healthy Fitness Project

OMB: 0990-0411

IC ID: 207827

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Baseline Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 19116_ID Out Proud and Healthy Fitness-Baseline Survey.docx No No Printable Only
Other-ScreenShot Baseline Survey screen shots_new2.docx No   Printable Only

Health Illness Prevention

 

150 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 150 0 150 0 0 0
Annual IC Time Burden (Hours) 150 0 150 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy