OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Health and Genetics from YOUR Point of View

IC 209618 under ICR 201403-0925-011 · OMB 0925-0700.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Health and Genetics from YOUR Point of View
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Screenshot: Health and Genetics from YOUR Point of View Attach 9. Screenshot Health and Genetics from YOUR Point of View-Klein.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

30,000 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 30,000 0 30,000 0 0 0
Annual IC Time Burden (Hours) 12,500 0 12,500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attach 8 Attach 8. Survey Health and Genetics from YOUR Point of View-Klein.pdf 03/24/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.