Children and Aging Forums Feedback Survey

Customer Surveys Generic Clearance for the National Center for Health Statistics

OMB: 0920-0729

IC ID: 217816

Information Collection (IC) Details

View Information Collection (IC)

Children and Aging Forums Feedback Survey 15BBJ
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Children and Aging Forums Feedback Survey Attachment A Children and Aging Forum Feedback Survey 072915.docx Yes No Paper Only

Health Public Health Monitoring

 

1,700 0
   
Individuals or Households
 
   0 %

  Requested 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 1,700 0 0 0 0 1,700
Annual IC Time Burden (Hours) 283 0 0 0 0 283
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A Children and Aging Forums SSA 080615 final.doc 08/10/2015
Supporting Statement B Children and Aging Forums SSB 080615 final.docx 08/10/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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