Resaturant intervention log - control restaurants

Assessment of Ill Worker Policies Study

OMB: 0920-1227

IC ID: 245317

Information Collection (IC) Details

View Information Collection (IC)

Resaturant intervention log - control restaurants
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Intervention log - control restaurants P_Att 5 Intervention Log 201211.docx Yes No Paper Only

Health Illness Prevention

 

53 0
   
Private Sector Businesses or other for-profits
 
   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 53 0 0 0 0 53
Annual IC Time Burden (Hours) 27 0 0 0 0 27
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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