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Federal forms, ICRs, and supporting documents

Information Collection

Appx C_Initial Participant Questionnaire: Field (Health screening)

IC 243129 under ICR 202310-0920-010 · OMB 0920-1331.

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

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Appx C_Initial Participant Questionnaire: Field (Health screening) 0920-1331
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1331 Initial Participant Questionnaire: Field Appendix C Health screening - field.docx Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

30 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 30 0 0 0 0 30
Annual IC Time Burden (Hours) 15 0 0 0 0 15
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.