Progress Report

Project PrIDE

OMB: 0920-1201

IC ID: 226968

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

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Progress Report 0920-17BZ
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att 5 Progress Report.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

12 0
   
Individuals or Households
 
   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 12 0 12 0 0 0
Annual IC Time Burden (Hours) 96 0 96 0 0 0
Annual IC Cost Burden (Dollars) 2,314 0 2,314 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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