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Federal forms, ICRs, and supporting documents

Information Collection

State Minority Health Office Directors/Coordinators and State Department of Health Representatives

IC 205846 under ICR 201603-0990-002 · OMB 0990-0406.

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

View Information Collection (IC)

State Minority Health Office Directors/Coordinators and State Department of Health Representatives
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-form 0990-National Partnership for Action_Attachment E.docx No No Paper Only

Health Illness Prevention

 

110 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 110 0 0 0 0 110
Annual IC Time Burden (Hours) 37 0 0 0 0 37
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.