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2015 Immunization Awardee Meeting Evaluation

IC 217768 under ICR 201407-0920-001 · OMB 0920-1026.

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2015 Immunization Awardee Meeting Evaluation 15BBH
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Evaluation Survey Attachment 2_2015 Immunization Awardee Meeting Evaluation_Survey_Screenshots.pdf Yes Yes Fillable Fileable

Health Illness Prevention

 

242 10
   
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 242 0 242 0 0 0
Annual IC Time Burden (Hours) 32 0 32 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Survey - Word Doc Attachment 1_2015 Immunization Awardee Meeting IAM Evaluation_Survey.docx 08/04/2015
Email Invite Attachment 3_ 2015 Immunization Awardee Meeting_Invite email.docx 08/04/2015
Email Reminder Attachment 4_2015 Immunization Awardee Meeting _Reminder Email.docx 08/04/2015
Request for Approval GenIC 0920-1026_2015 Immunization Awardee Meeting Evaluation.docx 08/04/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.