NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Ind. and Households)

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

OMB: 0925-0648

IC ID: 231904

Information Collection (IC) Details

View Information Collection (IC)

NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Ind. and Households)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 PEPH Aware Act Use Survey PEPH_Aware-Act-Use_Survey_Final_06-20-2018v3.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

292 0
   
Individuals or Households
 
   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 292 0 292 0 0 0
Annual IC Time Burden (Hours) 24 0 24 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PEPH Ind. and Househould Fast Track Fast Track _PEPH Ind. and Households.docx 06/21/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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