OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Customer Survey for the World Trade Center Health Program Nutrition Department (Stony Brook)

IC 236078 under ICR 201802-0920-007 · OMB 0920-0953.

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

View Information Collection (IC)

Customer Survey for the World Trade Center Health Program Nutrition Department (Stony Brook) 0920-19AYO
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a World Trade Center Health Program Nutrition Survey Stonybrook_Nutrition Department Member Survey Final.pdf No   Paper Only

Health Health Care Services

 

225 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 225 0 225 0 0 0
Annual IC Time Burden (Hours) 38 0 38 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Template with Project Description - Nutrition Department Survey OMB Fast Track Submission__StonyBrook_Nutrition.docx 05/14/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.