OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Michigan Department of Community Health Telephone Questions for Scheduling (repeated appointments)

IC 212540 under ICR 201407-0923-001 · OMB 0923-0044.

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

View Information Collection (IC)

Michigan Department of Community Health Telephone Questions for Scheduling (repeated appointments)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0923-0044 Att1_MI_PhoneQs 20140724 Att1_MI_PhoneQs 20140724.doc No   Fillable Fileable

Health Public Health Monitoring

 

25 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 25 0 25 0 0 0
Annual IC Time Burden (Hours) 3 0 3 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.