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Federal forms, ICRs, and supporting documents

Information Collection

Mosquito and Tick Control Program Questionnaire

IC 260277 under ICR 202305-0920-007 · OMB 0920-1409.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Mosquito and Tick Control Program Questionnaire 0920-23CA
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Mosquito and Tick Control Program Questionnaire Attachment 1 -Mosquito and Tick Control Program Questionnaire Word Version.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,109 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 1,109 0 1,109 0 0 0
Annual IC Time Burden (Hours) 167 0 167 0 0 0
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.