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Federal forms, ICRs, and supporting documents

Information Collection

Induction Interview - Service Delivery Site (NAMCS-201)

IC 220058 under ICR 202007-0920-001 · OMB 0920-0234.

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

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Induction Interview - Service Delivery Site (NAMCS-201)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none 2018 CHC Provider Induction Sample Card Att C5-2018 Induction Sample Card CHC Prov.pdf Yes Yes Fillable Fileable
Form and Instruction none 2019 CHC Provider Induction Interview Att E1-2019 NAMCS-201 CHC.docx Yes Yes Fillable Fileable
Form and Instruction none CDC Service Delivery Induction Interview Sample Card Att E2-2019 NAMCS-201 CHC Service Delivery.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Health Resources Utilzation 09-20-0167  49 FR 37697

116 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 116 0 0 0 0 116
Annual IC Time Burden (Hours) 58 0 0 0 0 58
Annual IC Cost Burden (Dollars) 5,250 0 0 0 0 5,250

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