Puerto Rico BRFSS Coordinator - Data submission

Zika Reproductive Health Call-Back Survey (ZRHCS), PUERTO RICO 2017

OMB: 0920-1188

IC ID: 227416

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Puerto Rico BRFSS Coordinator - Data submission
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Recruitment Script Data Att 2 ZRHCS Recruitment Script.docx NA Yes Yes Fillable Fileable
Form and Instruction NA Call Back Survey Data Att 3 ZRHCS Survey.DOCX NA Yes Yes Fillable Fileable

Disaster Management Emergency Response

 

1 0
   
State, Local, and Tribal Governments
 
   100 %

  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 6 0 6 0 0 0
Annual IC Time Burden (Hours) 18 0 18 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