OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Customer Interviews

IC 266237 under ICR 202411-0990-001 · OMB 0990-0491.

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

View Information Collection (IC)

Customer Interviews
 
Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other- Generic ICR Template_A11 Section 280 Clearance 12 4 23.docx Yes Yes Fillable Fileable
Other- Generic ICR Template_A11 Section 280 Clearance 12 4 23.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

500 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 0 0 -500 0 0 500
Annual IC Time Burden (Hours) 0 0 -500 0 0 500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.