Data Submission Layout - PRA BRFSS Coordinators

Zika Reproductive Health Call-Back Survey (ZRHCS), Puerto Rico, 2017

OMB: 0920-1212

IC ID: 228476

Information Collection (IC) Details

View Information Collection (IC)

Data Submission Layout - PRA BRFSS Coordinators
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NA Puerto Rico BRFSS Coordinator Electronic Datas Submission Layout ZRHCS_Data submission Layout.pdf NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

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 3 0 3 0 0 0
Annual IC Time Burden (Hours) 9 0 9 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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