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Federal forms, ICRs, and supporting documents

Information Collection

Survey Participant Questionnaire

IC 245119 under ICR 202603-0920-003 · OMB 0920-0950.

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

View Information Collection (IC)

Survey Participant Questionnaire
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment_6d_Water Protocol_2024JULY16.docx N/A No   Fillable Fileable
Form and Instruction 0920-0950 Survey Participant Questionnaire 17APR2025 0920-0950 Attachment_6b_Survey Participant Questionnaire_2025APR16.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population  49 FR 37693

5,882 0
   
Individuals or Households
 
   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 5,882 0 0 0 0 5,882
Annual IC Time Burden (Hours) 5,882 0 0 0 0 5,882
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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