CCC Program Director Web Survey Questionnaire

Experiences with the Implementation and Outcomes of Policy and Environmental Cancer Control Interventions

OMB: 0920-1016

IC ID: 210383

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

View Information Collection (IC)

CCC Program Director Web Survey Questionnaire
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920- Att C1a _Program_Director_Web_Survey_10_29_13 Att C1a _Program_Director_Web_Survey_10_29_13.docx Yes Yes Fillable Fileable
Instruction Att C1b_Program_Director_Survey_Screen_Shots_11_01_13.docx Yes Yes Fillable Fileable

Health Immunization Management

 

43 0
   
State, Local, and Tribal Governments
 
   100 %

  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 43 0 0 0 0 43
Annual IC Time Burden (Hours) 22 0 0 0 0 22
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att C4_ Program_Director_Reminder_E-Mail Att C4_ Program_Director_Reminder_E-Mail_10_29_13.docx 02/11/2014
Att C3_Program_Director_Advance_E-Mai Att C3_Program_Director_Advance_E-Mail_10_29_13.docx 02/11/2014
Att C2 _Program_Director_Advance_LetterAtt C2 _Program_Director_Advance_Letter Att C2 _Program_Director_Advance_Letter_10_29_13.docx 02/11/2014
Att C5_ Program_Director_Thankyou_E-Mail Att C5_ Program_Director_Thankyou_E-Mail_10_29_13.docx 02/11/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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