Substitue Data Request Form

Strategic Prevention Framework for Prescription Drugs (SPF-Rx)

OMB: 0930-0377

IC ID: 227230

Information Collection (IC) Details

View Information Collection (IC)

Substitue Data Request Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Substitue Data Request Form Substitue Data Request Form Attachment_5_SPF-Rx_SubstDataFormOMB_OMB_06_19_17.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

12 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 12 0 12 0 0 0
Annual IC Time Burden (Hours) 12 0 12 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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