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Information Collection

MFS-IP Follow up survey-(34 month) Female

IC 184575 under ICR 201506-0990-005 · OMB 0990-0331.

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

View Information Collection (IC)

MFS-IP Follow up survey-(34 month) Female
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-0331Renewal Appendix B Female Instument.pdf Yes Yes Fillable Printable

Health Immunization Management

 

463 0
   
Individuals or Households
 
   0 %

  Requested 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 463 0 0 0 0 463
Annual IC Time Burden (Hours) 695 0 0 0 0 695
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.