OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

MFC-IP Follow-back Interviews Male Pre-release

IC 212432 under ICR 201506-0990-005 · OMB 0990-0331.

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

View Information Collection (IC)

MFC-IP Follow-back Interviews Male Pre-release
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-null 0990-0331Appendix A_instruments.docx No   Paper Only

Health Consumer Health and Safety

 

20 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 20 0 0 0 0 20
Annual IC Time Burden (Hours) 30 0 0 0 0 30
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
MFS-IP Grants 0990-0331NonsubstantiveModificationCombined.docx 07/23/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.