CDC Worksite Health Scorecard Registration

CDC Worksite Health Scorecard

OMB: 0920-1014

IC ID: 234913

Information Collection (IC) Details

View Information Collection (IC)

CDC Worksite Health Scorecard Registration 14BE
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1014 CDC Worksite Health Scorecard Registration Att_C-1_CDC Worksite Health Scorecard Register_1-28-19.docx na Yes Yes Fillable Fileable

Health Consumer Health and Safety

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

800 600
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 800 0 800 0 0 0
Annual IC Time Burden (Hours) 67 0 67 0 0 0
Annual IC Cost Burden (Dollars) 3,547 0 3,547 0 0 0

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