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Post visit survey for facility evaluation of US National Authority for Containment of Poliovirus (NAC) performance and improvement

IC 244975 under ICR 201902-0920-022 · OMB 0920-1050.

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Form
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Post visit survey for facility evaluation of US National Authority for Containment of Poliovirus (NAC) performance and improvement 0920-1050-21BR
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1050 Post Site Visit Survey Post site visit survey questions_Clearance.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

40 0
   
Private Sector Businesses or other for-profits
 
   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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Customer Service Clearance Template 0920-1050-Customer Service GenIC Clearance Template (Final 5.3)_Post visit survey_US NAC_201216.docx 12/17/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.