CBO Qualtrics Survey

National Hypertension Control Initiative

OMB: 0990-0482

IC ID: 252916

Information Collection (IC) Details

View Information Collection (IC)

CBO Qualtrics Survey
No Unchanged
5 CFR 1320.8(d)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 CBOs: Qualtrics survey Appendix B_Qualtrics and DREaM CBO quarterly survey questions_Final.docx Yes Yes Fillable Fileable

Health Illness Prevention

National Hypertension Control Initiative - CBOs: Qualtrics survey   86 FR 70510

16 0
Private Sector 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 128 0 0 0 0 128
Annual IC Time Burden (Hours) 192 0 0 0 0 192
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy