OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Ohio Health/T.O.P.P.

IC 201758 under ICR 201502-0990-002 · OMB 0990-0382.

Documents and Forms
Document Name
Document Type
Other-survey
Other-Survey
Other-survey
Information Collection (IC) Details

View Information Collection (IC)

Ohio Health/T.O.P.P.
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-0382Attachment B_OHIO.pdf Yes Yes Printable Only
Other-Survey 2_OhioHealth PPA FU _response to OMB_051412.docx Yes Yes Printable Only
Other-survey Instrument 4_OhioHealth FollowUp Survey.pdf No   Fillable Fileable

Health Illness Prevention

 

148 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 444 0 -66 0 0 510
Annual IC Time Burden (Hours) 311 0 -46 0 0 357
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.