OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Online Survey Instrument

IC 192388 under ICR 202511-0920-002 · OMB 0920-0600.

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

View Information Collection (IC)

Online Survey Instrument 0920-0600
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Online Survey Instrument Webshots Att. 4-Online Survey Instrument Webshots.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

70 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 140 0 -20 0 0 160
Annual IC Time Burden (Hours) 35 0 -5 0 0 40
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PDF Online Survey Instrument PDF of Online Survey Instrument.pdf 09/04/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].