OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Stakeholder Survey

IC 195856 under ICR 201705-0930-002 · OMB 0930-0320.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Stakeholder Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Stakeholder Survey_Wave1 Stakeholder Survey_Wave1 Attachment 3. CABHI_Stakeholder Survey_Wave1.docx Yes Yes Fillable Fileable
Form and Instruction Stakeholder Survey_Wave2 Stakeholder Survey_Wave2 Attachment 4. CABHI_Stakeholder Survey_Wave2.docx Yes Yes Fillable Fileable
Form and Instruction Stakeholder Survey_Wave3 Stakeholder Survey_Wave3 Attachment 5. CABHI_Stakeholder Survey_Wave3.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

780 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 780 0 132 0 0 648
Annual IC Time Burden (Hours) 320 0 139 0 0 181
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.