OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Preboarding Health Screen

IC 239869 under ICR 202005-0920-013 · OMB 0920-1287.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Preboarding Health Screen 0920-20HF
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-20HF Preboarding Health Screen Attachment F COVID-2019 Preboarding Health Screen_2.10.2020-Final.pdf No   Paper Only

Health Public Health Monitoring

 

20,000 0
   
Individuals or Households
 
   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 20,000 0 0 0 0 20,000
Annual IC Time Burden (Hours) 1,667 0 0 0 0 1,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.