Information Collection

Anthropometric measurements - Mississippi

IC 236770 under ICR 201906-0920-008 · OMB 0920-1271.

Documents and Forms

Document Name Document Type
Anthropometric measurements - Mississippi Form
UMMC Anthropometric Data Attachment E. UMMC Anthropometric data_FINAL_OMB edits_06202019 clean (OMB)_AS 09232019_CLEAN.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Anthropometric measurements - Mississippi	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	UMMC Anthropometric Data	Attachment E. UMMC Anthropometric data_FINAL_OMB edits_06202019 clean (OMB)_AS 09232019_CLEAN.docx		Yes	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 358	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	358	358
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	432	432

Documents for IC

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.