Eligibility Screener

Women's Preventive Health Services Survey

OMB: 0920-1200

IC ID: 225623

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

View Information Collection (IC)

Eligibility Screener
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-CATI script Att 8. Revised WPHSS_Phone script to complete survey_CATI.docx Yes Yes Fillable Fileable

Health Health Care Services

 

3,228 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 3,228 0 3,228 0 0 0
Annual IC Time Burden (Hours) 269 0 269 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.

© 2024 OMB.report | Privacy Policy