Early Hearing Detecton and Intervention Hearing Screening and Follow-up survey

Early Hearing Detection and Intervention Hearing Screening and Follow-up survey

OMB: 0920-0733

IC ID: 43622

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

View Information Collection (IC)

Early Hearing Detecton and Intervention Hearing Screening and Follow-up survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attach_4A_Directions_for_EHDI_Survey.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

57 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 57 0 57 0 0 0
Annual IC Time Burden (Hours) 10 0 10 0 0 0
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.

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