AHOBPR Questionnaire - Qarmat Ali Sub-population Follow-up

Airborne Hazards and Open Burn Pit Registry (AHOBPR) Web-accessible Self-Assessment/Questionnaire (VA Form 10-10066)

OMB: 2900-0800

IC ID: 235614

Information Collection (IC) Details

View Information Collection (IC)

AHOBPR Questionnaire - Qarmat Ali Sub-population Follow-up 2900-0800
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-10066 AHOBPR Questionnaire - Qarmat Ali Sub-population Follow-up AHOBR Questionnaire _ QA Sub-Pop Follow up.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

686 0
   
Individuals or Households
 
   100 %

  Requested 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 686 0 686 0 0 0
Annual IC Time Burden (Hours) 114 0 114 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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