Household Component - Household Study Form B

Information Collection on Cause-Specific Absenteeism in Schools

OMB: 0920-1039

IC ID: 228818

Information Collection (IC) Details

View Information Collection (IC)

Household Component - Household Study Form B 0920-1039
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1039 ORCHARDS HOUSEHOLD STUDY FORM B Att C4a household forms all.pdf NA No   Paper Only

Health Public Health Monitoring

Records of Subjects in Health Promotion and Education Studies  51 FR 42484

240 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 240 0 -1,200 0 1,440 0
Annual IC Time Burden (Hours) 20 0 -220 0 240 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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