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Information Collection

GAOS HCP Pre-Campaign Web Survey - HCPs

IC 257060 under ICR 202306-0920-013 · OMB 0920-1384.

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

View Information Collection (IC)

GAOS HCP Pre-Campaign Web Survey - HCPs
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a GAOS HCP Pre-Campaign Web Survey GAOS HCP Pre-Campaign Web Survey - HCPs.docx NA Yes Yes Fillable Fileable

Health Illness Prevention

 

1,103 0
   
Individuals or Households
 
   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 1,103 0 0 0 0 1,103
Annual IC Time Burden (Hours) 368 0 0 0 0 368
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.