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Federal forms, ICRs, and supporting documents

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PSE Change Network Survey

IC 210389 under ICR 201510-0920-001 · OMB 0920-1016.

Documents and Forms
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Document Type
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IC Document
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Information Collection (IC) Details

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PSE Change Network Survey 15BGN
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att F-1(Word) PSE Change Network Survey.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

87 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 87 0 0 0 0 87
Annual IC Time Burden (Hours) 29 0 0 0 0 29
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att F2_Coalition_Survey_Advance E-Mail Att F2_Coalition_Survey_Advance E-Mail.docx 02/11/2014
Att F3_Coalition_Survey_Recruitment E-Mail Att F3_Coalition_Survey_Recruitment E-Mail.docx 02/11/2014
Att F4_Coalition_Survey_Reminder E-Mail Att F4_Coalition_Survey_Reminder E-Mail.docx 02/11/2014
Att F5_Coalition_Survey_Thank You E-Mail Att F5_Coalition_Survey_Thank You E-Mail.docx 02/11/2014
Att F-1_PSE Change Network Survey (Screenshots) Att F-1(Screen Shots) PSE Change Network Survey.pdf 10/08/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.