|
CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS) |
|
0920-1382-24AG |
| |
|
No
|
Modified |
| |
| Obligation to Respond:
Voluntary
|
| |
| CFR Citation:
|
Information Collection Instruments:
table that charts list of instruments
| Document Type |
Form No. |
Form Name |
Instrument File |
URL |
Available Electronically? |
Can Be Submitted Electronically? |
Electronic Capability |
| Form and Instruction |
0920-1382 |
|
|
|
No |
|
Paper Only |
| Form and Instruction |
0920-1382 |
|
|
|
No |
|
Paper Only |
| Form and Instruction |
0920-1382 |
|
|
|
No |
|
Paper Only |
| Form and Instruction |
0920-1382 |
|
|
|
Yes |
Yes |
Fillable Fileable |
| Form and Instruction |
0920-1382 |
|
|
|
Yes |
Yes |
Fillable Fileable |
| Form and Instruction |
None |
|
|
|
Yes |
Yes |
Fillable Fileable |
| Form and Instruction |
None |
|
|
|
No |
|
Paper Only |
| Form and Instruction |
None |
|
|
|
No |
|
Paper Only |
Federal Enterprise Architecture Business Reference Module
| Line of Business:
Health
|
Subfunction:
Public Health Monitoring
|
| Privacy Act System of Records |
|
| Title:
09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems
|
FR Citation:
57 FR 62811
|
|
Number of Respondents:
2,556
|
Number of Respondents for Small Entity:
0
|
| |
|
|
Affected Public:
Individuals or Households
|
|
| |
| Percentage
of Respondents Reporting Electronically:
0
%
|
table that charts list of burden
| |
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 |
2,556 |
0 |
0 |
0 |
0 |
2,556 |
| Annual IC Time Burden (Hours) |
852 |
0 |
0 |
0 |
0 |
852 |
| Annual IC Cost Burden (Dollars) |
17,184 |
0 |
0 |
0 |
0 |
17,184 |
Documents for IC
table that charts IC Documents
| Title |
Document |
Date Uploaded |
| No associated records found |
|
