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Appendix D_FVL Instrument 1 MIECHV Program FVL Online Survey

IC 267069 under ICR 202404-0906-006 · OMB 0906-0093.

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

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Appendix D_FVL Instrument 1 MIECHV Program FVL Online Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 MIECHV Program FVL Online Survey Appendix D_FVL Instrument 1 MIECHV Program FVL Online Survey.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,000 900
   
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 1,000 0 1,000 0 0 0
Annual IC Time Burden (Hours) 330 0 330 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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