OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

6-Month Follow-up Assessment

IC 201268 under ICR 201411-0920-007 · OMB 0920-0942.

Documents and Forms
Document Name
Document Type
Other-Attachment 5 - Six-Month Follo
Information Collection (IC) Details

View Information Collection (IC)

6-Month Follow-up Assessment
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment 5 - Six-Month Follow-Up Assessment Attachment 5 - Six-Month Follow-Up Assessment.docx Yes Yes Printable Only

Health Public Health Monitoring

 

300 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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 300 0 0 0 0 300
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.