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Federal forms, ICRs, and supporting documents

Information Collection

Survey Study -- Current State and Local Government Agencies

IC 202583 under ICR 201511-0910-003 · OMB 0910-0726.

Documents and Forms
Document Name
Document Type
Other-Cover Letter and Directions
Other-Survey
Other-Reminder
Information Collection (IC) Details

View Information Collection (IC)

Survey Study -- Current State and Local Government Agencies ORA
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Cover Letter and Directions Survey Cover Letter and Census Directions FINAL 8-31-12.doc Yes No Printable Only
Other-Survey SURVEY 205(c) FINAL 9-27-12.doc Yes Yes Fillable Fileable
Other-Reminder FSMA 205c2 Draft Reminder FINA 8-31-12L.doc Yes No Printable Only

Health Public Health Monitoring

 

1,391 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 1,391 0 0 0 0 1,391
Annual IC Time Burden (Hours) 1,391 0 0 0 0 1,391
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.