Component 3: Special Projects

Integrated Viral Hepatitis Surveillance and Prevention Funding for Health Departments

OMB: 0920-1353

IC ID: 248659

Information Collection (IC) Details

View Information Collection (IC)

Component 3: Special Projects 0920-22AV
 
Yes Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-21EE 3c_Component 3 Att 3c_Component 3_5-18-2021.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

14 0
   
State, Local, and Tribal Governments
 
   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 14 0 0 0 0 14
Annual IC Time Burden (Hours) 14 0 0 0 0 14
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 4c_Comp 3 instructions_11-5-2021 Att 4c_Comp 3 instructions_11-5-2021.docx 11/18/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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