Shelter Worker Suvey - KAP Body lice- and flea-borne diseases

Homeless Service Providers’ Knowledge, Attitudes, and Practices Regarding Body Lice, Fleas and Associated Diseases

OMB: 0920-1372

IC ID: 255798

Documents and Forms
Information Collection (IC) Details

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Shelter Worker Suvey - KAP Body lice- and flea-borne diseases
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA KAP Survey - Shelter Workers Att_4_KAP_Shelter.docx NA Yes Yes Fillable Fileable

Health Illness Prevention

 

200 0
   
Individuals or Households
 
   50 %

  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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 150 0 0 0 0 150
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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