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Federal forms, ICRs, and supporting documents

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AFIX Quarterly Call Evaluation

IC 218144 under ICR 201407-0920-001 · OMB 0920-1026.

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Other-Screenshots
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AFIX Quarterly Call Evaluation 15BFB
 
New
 
Voluntary
 
30 CFR 42

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screenshots Attachment 1_ AFIX Quarterly Call Evaluation Survey_Screenshots.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

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) 13 0 13 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval GenIC 0920-1026 AFIX Quarterly Call Evaluation.docx 09/10/2015
Att 2_ AFIX Quarterly Call_Participants Participation Email Attachment 2_ AFIX Quarterly Call Evaluation Survey_Participation Email.docx 09/10/2015
Att 3_AFIX Quarterly Call_Participants Follow-up Email Attachment 3_ AFIX Quarterly Call Evaluation Survey_Reminder Email.docx 09/10/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.