Nonresponse Survey

[NCHHSTP] National Syringe Services Program (SSP) Evaluation

OMB: 0920-1359

IC ID: 248418

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

View Information Collection (IC)

Nonresponse Survey 0920-1359
 
Yes Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Nonresponse Survey Att 6_Nonresponse Survey Item_final.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,000 600
   
Private Sector Businesses or other for-profits, 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 1,000 0 520 0 0 480
Annual IC Time Burden (Hours) 33 0 17 0 0 16
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