OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Racial and Ethnic Approaches to Community Health 2010 Information Network (REACH IN)

IC 7068 under ICR 200612-0920-010 · OMB 0920-0603.

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

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Racial and Ethnic Approaches to Community Health 2010 Information Network (REACH IN)
 
No Modified
 
Voluntary
 
42 CFR 6A.241  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Other FINAL REACH IN supporting statement Dec 4.doc Yes Yes Printable Only

Health Illness Prevention

 

42 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 168 0 84 0 0 84
Annual IC Time Burden (Hours) 84 0 0 0 0 84
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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