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Federal forms, ICRs, and supporting documents

Information Collection

Requested Amendment to OMB-Approved Project: Best Practices for COVID-19 Vaccination and Testing

IC 265639 under ICR 202403-0990-009 · OMB 0990-0421.

Documents and Forms
Document Name
Document Type
Other-Amendment
Other-Amendment
Other-Instrument
Other-Instrument
Other-outreach materials
Other-outreach materials
Other-post-pilot
Other-post-pilot
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Requested Amendment to OMB-Approved Project: Best Practices for COVID-19 Vaccination and Testing
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Amendment Human Services and Environmental and Climate Justice - Considering Community Concerns and Program Options_OMB Amendment Submission.docx No   Paper Only
Other-Instrument Attachment A_Instruments_post-pilot_tracked.docx No   Paper Only
Other-outreach materials Attachment B_Outreach and Recruitment materials_post-pilot_tracked.docx No   Printable Only
Other-post-pilot A_SiteVisits_ASPE_Generic_COVID_SS-A_post-pilot_tracked.docx No   Paper Only

Health Public Health Monitoring

 

57 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 57 0 -33 0 0 90
Annual IC Time Burden (Hours) 14 0 -66 0 0 80
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Requested Amendment to OMB-Approved Project: “Human Services and Environmental and Climate Justice: Considering Community Concerns and Program Options” Human Services and Environmental and Climate Justice - Considering Community Concerns and Program Options_OMB Amendment Submission.docx 02/27/2024
Site Visit SSA A_SiteVisits_ASPE_Generic_COVID_SS-A_post-pilot_tracked.docx 03/27/2024
Memo Memo to OMB_summary and justification_Non substantive change.docx 03/27/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.