OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Poison Help General Population Survey

IC 198611 under ICR 201709-0915-001 · OMB 0915-0343.

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

View Information Collection (IC)

Poison Help General Population Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Appendix B - General Population Survey.docx Appendix B - General Population Survey.docx No   Paper Only
Form 2 Appendix C - General Population Survey Screener.docx Appendix C - General Population Survey Screener.docx No   Paper Only

Health Illness Prevention

 

4,600 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 4,600 0 4,600 0 0 0
Annual IC Time Burden (Hours) 374 0 374 0 0 0
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.