2020 Dietary Primer Assessment and Feedback (NCI)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCI)

OMB: 0925-0642

IC ID: 244041

Information Collection (IC) Details

View Information Collection (IC)

2020 Dietary Primer Assessment and Feedback (NCI)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Dietary Primer survey Primer Survey.docx Yes Yes Fillable Fileable

Health Health Care Services

 

100 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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2020 Dietary Assessment Primer Survey fast track Fast Track Request-Dietary Assessment Primer.docx 10/13/2020
email Email.docx 10/13/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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