OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Att 3a_Mail-In or Web-based Questionnaire

IC 242266 under ICR 202006-0920-008 · OMB 0920-1314.

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

View Information Collection (IC)

Att 3a_Mail-In or Web-based Questionnaire 0920-19BHM
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920- Mail-in Questionnaire OCS Att 3a mail-in questionnaire Final.docx No   Fillable Fileable

Health Illness Prevention

 

1,200 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 1,200 0 1,200 0 0 0
Annual IC Time Burden (Hours) 1,000 0 1,000 0 0 0
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.