Household Survey (Telephone) for General Public and Consent

Public Health Systems, Mental Health and Community Recovery Project

OMB: 0920-0993

IC ID: 208428

Information Collection (IC) Details

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Household Survey (Telephone) for General Public and Consent
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Household Survey and Consent Revised Attachment D_ Household Survey for General Public and Consent.docx Yes Yes Fillable Fileable

Disaster Management Disaster Repair and Restore

 

3,440 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 3,440 0 0 0 0 3,440
Annual IC Time Burden (Hours) 1,433 0 0 0 0 1,433
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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