Effective Educational Campaigns for Private Well Owners

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

OMB: 0920-0879

IC ID: 211589

Information Collection (IC) Details

View Information Collection (IC)

Effective Educational Campaigns for Private Well Owners
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Survey screenshots Wells_B_Instrument_Web.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

100 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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 30 0 30 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A Wells_SSA.docx 05/13/2014
Supporting Statement B Wells_SSB.docx 05/13/2014
Survey - Word Wells_A_Instrument_Word.docx 05/13/2014
List of Participating States Wells_C_State List.docx 05/13/2014
Initial Email Wells_D_Initial E-mail.docx 05/13/2014
Instructions Wells_E_Instructions.docx 05/13/2014
Reminder Email Wells_F_Reminder.docx 05/13/2014
Phone call Wells_G_Phone Call.docx 05/13/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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