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Federal forms, ICRs, and supporting documents

Information Collection

Cost Study Interview Guide_Partner (Attachment 5d)

IC 272076 under ICR 202504-0920-030 · OMB 0920-1453.

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

View Information Collection (IC)

Cost Study Interview Guide_Partner (Attachment 5d)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1453 Att 5d. Cost Study_Interview Guide_Partners_rev 2025 Att 5d. Cost Study_Interview Guide_Partners_clean.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

 

55 0
   
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 55 0 0 0 0 55
Annual IC Time Burden (Hours) 55 0 0 0 0 55
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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