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Federal forms, ICRs, and supporting documents

Information Collection

Coalition participants, and other community members online survey

IC 218883 under ICR 201508-0990-001 · OMB 0990-0443.

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

View Information Collection (IC)

Coalition participants, and other community members online survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-CHC_Coalition Participants and Other Community Members Online Survey.doc Yes Yes Fillable Fileable

Health Health Care Services

 

510 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 510 0 510 0 0 0
Annual IC Time Burden (Hours) 170 0 170 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.