OWH Health Professional Women's Health Survey

Prevention Communication Formative Research

OMB: 0990-0281

IC ID: 235790

Information Collection (IC) Details

View Information Collection (IC)

OWH Health Professional Women's Health Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 OWH Health Professional Womens Health Survey Instrument OWH Health Professional Womens Health Survey Instrument 2-19-19_OMB_updated.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

500 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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 183 0 183 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OWH Health Professional Survey Supplemental A OWH Health Professional Womens Health Survevy Supporting Statement A 4-2-19_OMB_updated.docx 05/07/2019
OWH Health Professional Survey Supplemental A OWH Health Professional Womens Health Survey Supporting Statement B 4-2-19.docx 04/19/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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