OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Women's Health Needs STUDY_QUESTIONNAIRE

IC 234873 under ICR 202001-0920-016 · OMB 0920-1264.

Documents and Forms
Document Name
Document Type
Other-WORD English translations
Other-WORD Somali translations
Other-WORD Swahili translations
Other-WORD Arabic translations
Other-WORD Armharic translations
Information Collection (IC) Details

View Information Collection (IC)

Women's Health Needs STUDY_QUESTIONNAIRE 0920-18JC
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD English translations Att H1 Initial Pilot Questionnaire WHNS_ENGLISH_08092018.docx No   Fillable Fileable
Other-WORD Somali translations Att H2 Initial Pilot Questionnaire WHNS_Somali.docx No   Paper Only
Other-WORD Swahili translations Att H3 Initial Pilot Questionnaire WHNS_Swahili.docx No   Paper Only
Other-WORD Arabic translations Att H4 Initial Pilot Questionnaire WHNS_Arabic.docx No   Paper Only
Other-WORD Armharic translations Att H5 Initial Pilot Questionnaire WHNS_Armharic.docx No   Paper Only

Health Public Health Monitoring

 

400 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 400 0 0 0 0 400
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
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.