Application Packets for Real Property for Public Health Purposes

Application Packets for Real Property for Public Health Purposes

OMB: 0937-0191

IC ID: 7743

Information Collection (IC) Details

View Information Collection (IC)

Application Packets for Real Property for Public Health Purposes
 
No Unchanged
 
Voluntary
 
45 CFR 12-12a 40 CFR 1500-1508  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-application 0937-0191FINAL HHS Off Site Application 8.31.17.pdf Yes Yes Fillable Fileable
Other-application 0937-0191FINAL HHS Public Health Application 8.31.17.pdf Yes Yes Fillable Fileable
Other-application 0937-0191Final HHS Title V application 8.31.17.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

15 0
   
State, Local, and Tribal Governments
 
   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 15 0 0 0 0 15
Annual IC Time Burden (Hours) 3,000 0 0 0 0 3,000
Annual IC Cost Burden (Dollars) 1,125 0 0 0 0 1,125

Title Document Date Uploaded
Attachment A policy AttachmentA.Act.pdf 12/14/2016
Attachment B policy AttachmentBMcKinney.pdf 12/14/2016
Attachment C policy AttachmentC.CivilAction.pdf 12/14/2016
Attachment E policy AttachmentE.Part12.pdf 12/14/2016
Attachment F policy AttachmentF.Pt12a.pdf 12/14/2016
Attachment G policy AttachmentG.CEQ.pdf 12/14/2016
Attachment H policy AttachmentH.FedRegNEPA.pdf 12/14/2016
Attachment I AttachmentI.PubHlthapp.pdf 12/14/2016
Attachment J AttachmentJ.Offsiteapp.pdf 12/14/2016
Attachment K AttachmentK.hmlsuseapp.pdf 12/14/2016
Attachment L AttachmentL.hmlsapp.pdf 12/14/2016
Attachment M AttachmentM.Revisions.pdf 12/14/2016
Attachment N AttachmentN.7.10.06FedReg.pdf 12/14/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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