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Federal forms, ICRs, and supporting documents

Information Collection

Field Investigation Data Elements

IC 232307 under ICR 202403-0920-009 · OMB 0920-1242.

Documents and Forms
Document Name
Document Type
Other-Data elements
Other-Data elements
Information Collection (IC) Details

View Information Collection (IC)

Field Investigation Data Elements 0920-17BAN
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data elements Att 3D Field Investigation Data Elements.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

960 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 960 0 0 0 0 960
Annual IC Time Burden (Hours) 320 0 0 0 0 320
Annual IC Cost Burden (Dollars) 11,453 0 0 0 0 11,453

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