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Federal forms, ICRs, and supporting documents

Information Collection

Households (adults 18 and up); Mail screener

IC 228778 under ICR 201902-0910-011 · OMB 0910-0851.

Documents and Forms
Document Name
Document Type
Other-Mail Screener
Information Collection (IC) Details

View Information Collection (IC)

Households (adults 18 and up); Mail screener
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Mail Screener Attachment_1a_Mail_screener.docx No   Paper Only

Health Consumer Health and Safety

 

9,217 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 9,217 0 0 0 0 9,217
Annual IC Time Burden (Hours) 1,567 0 0 0 0 1,567
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.