Information Collection

Primary Health Care Digest Newsletter Subscriber Survey

IC 259876 under ICR 202401-0915-001 · OMB 0915-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Primary Health Care Digest Newsletter Subscriber Survey	Form and Instruction
Form 1 Primary Health Care Digest Newsletter Subscriber Survey	Form and Instruction
1 Primary Health Care Digest Newsletter Subscriber Survey 03.31.2023-FINAL-CLEAN.docx	Form and Instruction
1 Primary Health Care Digest Newsletter Subscriber Survey 03.31.2023-FINAL-CLEAN.docx	Form and Instruction
Fast Track Memo - BPHC Digest Newsletter revised 4.27.23 .docx PHC Digest Newsletter Subscriber Survey	IC Document
Fast Track Memo - BPHC Digest Newsletter revised 4.27.23 .docx PHC Digest Newsletter Subscriber Survey	IC Document

IC Title:

Primary Health Care Digest Newsletter Subscriber Survey

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Primary Health Care Digest Newsletter Subscriber Survey	03.31.2023-FINAL-CLEAN.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	583	583
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PHC Digest Newsletter Subscriber Survey	Fast Track Memo - BPHC Digest Newsletter revised 4.27.23 .docx	04/27/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.