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Federal forms, ICRs, and supporting documents

Information Collection

Case Questionnaire - Dog Owner

IC 225039 under ICR 201903-0920-008 · OMB 0920-1170.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Case Questionnaire - Dog Owner
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1170 Case Questionnaire Att E - Case Questionnaire ENGLISH.doc No   Fillable Fileable
Form and Instruction 0920-1170 Case Questionnaire Spanish Att E - Case Questionnaire SPANISH.doc No   Fillable Fileable

Health Illness Prevention

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

624 0
   
Individuals or Households
 
   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 624 0 0 0 624 0
Annual IC Time Burden (Hours) 52 0 0 0 52 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.