CDC Worksite Health Scorecard Cognitive Interview

CDC Worksite Health Scorecard

OMB: 0920-1014

IC ID: 228460

Information Collection (IC) Details

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CDC Worksite Health Scorecard Cognitive Interview 14BE
 
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Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1014 Attachment C-3 CDC Worksite Scorecard Cognitive Interview Guide_4.24.2017 Attachment C-3 CDC Worksite Scorecard Cognitive Interview Guide_4.24.2017.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

0920-0136, Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

32 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 0 0 0 -32 0 32
Annual IC Time Burden (Hours) 0 0 0 -32 0 32
Annual IC Cost Burden (Dollars) 0 0 0 -1,225 0 1,225

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