Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State, Local, and Tribal)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

OMB: 0925-0648

IC ID: 230702

Information Collection (IC) Details

View Information Collection (IC)

Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State, Local, and Tribal)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 PEPH Aware Act Use Survey Final PEPH_Aware-Act-Use_Survey_Final_03-05-2018v2 (2).docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

50 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 4 0 4 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use Fast Track _PEPH State and Local.docx 03/13/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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