Sudden Infant Death and Investigation Report Form

CDC I-Catalyst Program

OMB: 0920-1158

IC ID: 226562

Information Collection (IC) Details

View Information Collection (IC)

Sudden Infant Death and Investigation Report Form 17AGN
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Guide CDC I-Catalyst Interview Guide _Questions Project 6 SUIDIRF 4-26.docx No   Paper Only

Health Public Health Monitoring

 

50 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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval Request for Approval GenIC_Clearance- Project 6 NCCDPHP SUIDIRF TONO.DOCX 04/26/2017
Supporting Statement A ICatalyst Supporting Statements A SUIDIRF 4-26.docx 04/26/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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