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Investigation Protocol Template

IC 261657 under ICR 202408-0920-013 · OMB 0920-1419.

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

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Investigation Protocol Template 0920-23FQ
 
Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920- Investigation Protocol Template Attachment C Request Protocol_PHPS GenIC_v3.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

5,000 0
   
Individuals or Households
 
   50 %

  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 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 2,500 0 0 0 0 2,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Burden Memo Attachment D Burden memo PHPS GenIC_v3.docx 09/05/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.