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[NCIPC] Special Emphasis Panel (SEP) Peer Review Evaluation

IC 256874 under ICR 202505-0920-006 · OMB 0920-1050.

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[NCIPC] Special Emphasis Panel (SEP) Peer Review Evaluation 0920-1050-23AZ
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att 1_FY23 Peer Review SEP Survey Evaluation Form_v.111422.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

350 0
   
Individuals or Households
 
   100 %

  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 350 0 0 0 0 350
Annual IC Time Burden (Hours) 88 0 0 0 0 88
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1050) FY23_1050 Request Template Service Delivery_1020 (002).docx 11/14/2022
PIA FY23 Peer Review SEP Survey_PIA.pdf 11/14/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.