Information Collection

Participant Post-Activity Immediate Survey

IC 272958 under ICR 202605-0906-001 · OMB 0906-0108.

Information Collection (IC) Details

View Information Collection (IC)

Participant Post-Activity Immediate Survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 5 PPA_finaldraftOMB 05.29.2025 PPA_finaldraftOMB 05.29.2025.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

59,576 0
   
Individuals or Households
 
   80 %

  Requested 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 178,728 0 0 0 0 178,728
Annual IC Time Burden (Hours) 10,724 0 0 0 0 10,724
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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