Study Questionnaire - Burmese Immigrants and Descendants

Biomonitoring of Great Lakes Populations Program III

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0056 can be found here:

Documents and Forms

Document Name Document Type
Study Questionnaire - Burmese Immigrants and Descendants Form and Instruction
Study Questionnaire - Burmese Immigrants and their Desce 7d.StudyQuestionnaire_Burm.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Study Questionnaire - Burmese Immigrants and Descendants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Study Questionnaire - Burmese Immigrants and their Descendants	7d.StudyQuestionnaire_Burm.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 34	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	34	34
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.