NCEH/ATSDR Wellness Needs Assessment

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0923-0047

IC ID: 231638

Information Collection (IC) Details

View Information Collection (IC)

NCEH/ATSDR Wellness Needs Assessment 0923-0047-18ABG
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0923-0047 NCEH/ATSDR Wellness Needs Assessment - Federal Employees/Contractors/Fellows Attachment B2 - NCEH ATSDR Wellness Needs Assessment_screenshots.docx NA Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

200 0
   
Federal Government
 
   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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Invitation Email Attachment A1 - Needs Assessment Invitation Email.docx 06/04/2018
Reminder Email Attachment A2 - Needs Assessment Reminder Email.docx 06/04/2018
Research Determination RDF_Wellness Needs Assessment_OSSigned.pdf 06/04/2018
GenIC request 0923-0047 NCEH ATSDR Wellness Needs Assessment.pdf 06/04/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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