Eligibility Screening Survey - Burmese Immigrants and Descendants

Biomonitoring of Great Lakes Populations Program III

OMB: 0923-0056

IC ID: 226328

Information Collection (IC) Details

View Information Collection (IC)

Eligibility Screening Survey - Burmese Immigrants and Descendants
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Eligibility Screening Survey for Burmese Immigrants and their Descendants 5d.EligibilityScrngSrvy_Burm.docx NA No   Paper Only

Health Public Health Monitoring

 

42 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 42 0 0 0 0 42
Annual IC Time Burden (Hours) 4 0 0 0 0 4
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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