Remote Survey

HHS Website Usability

OMB: 0990-0321

IC ID: 197622

Information Collection (IC) Details

View Information Collection (IC)

Remote Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-0321Attachment3.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

4,800 0
   
Individuals or Households
 
   0 %

  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 4,800 0 0 0 0 0
Annual IC Time Burden (Hours) 960 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0990-0321Attachment1 0990-0321Attachment1.pdf 05/04/2011
0990-0321Attachment4 0990-0321Attachment4.pdf 05/04/2011
0990-0321Attachment2 0990-0321Attachment2.pdf 05/04/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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