OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Telephone Interviews-CHWs with completed CAPs or other leadership activities

IC 223180 under ICR 201604-0990-004 · OMB 0990-0455.

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

View Information Collection (IC)

Telephone Interviews-CHWs with completed CAPs or other leadership activities
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-interview Attachment 8_CHW Interview Protocol.docx No   Paper Only
Other-survey Attachment 8_CHW Interview Protocol.docx No   Paper Only

Health Health Care Services

 

40 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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 20 0 20 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.