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Federal forms, ICRs, and supporting documents

Information Collection

Annual Evaluation Survey-PHA

IC 275739 under ICR 202601-0920-001 · OMB 0920-1461.

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

View Information Collection (IC)

Annual Evaluation Survey-PHA 0920-25AC
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-25AC ORS Annual Evaluation Survey- PHA Att D_ORS Annual Evaluation Survey- PHA.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

61 0
   
Individuals or Households
 
   0 %

  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 61 0 0 0 0 61
Annual IC Time Burden (Hours) 31 0 0 0 0 31
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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