OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Community Residents

IC 194099 under ICR 201309-0990-002 · OMB 0990-0360.

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

View Information Collection (IC)

Community Residents
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-form 20078 ID_0990-0360Respondent-Community resident workshop evaluation.doc No No Printable Only

Health Illness Prevention

 

250 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 250 0 0 0 0 250
Annual IC Time Burden (Hours) 21 0 0 0 0 21
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.