Add Program and Add User - State Sealant Administrator

Sealant Efficiency Assessment for Locals and States (SEALS)

OMB: 0920-1289

IC ID: 238597

Documents and Forms
Information Collection (IC) Details

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Add Program and Add User - State Sealant Administrator
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Add Program and Add User SEALS Att 2c Entry Form & Manual SS Final.docx NA Yes Yes Fillable Fileable

Health Illness Prevention

 

6 0
   
Individuals or Households
 
   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 6 0 0 0 6 0
Annual IC Time Burden (Hours) 5 0 0 0 5 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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