SDY Module - State Health Personnel

Sudden Death in the Young Registry

OMB: 0920-1092

IC ID: 217617

Information Collection (IC) Details

View Information Collection (IC)

SDY Module - State Health Personnel
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none NCFRP Cases Reporting System SDY Module 1 Att 7a_NCFRP Case Reporting System_Module I.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

14 0
   
State, Local, and Tribal Governments
 
   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 742 0 742 0 0 0
Annual IC Time Burden (Hours) 124 0 124 0 0 0
Annual IC Cost Burden (Dollars) 2,337 0 2,337 0 0 0

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