MUH Resident Post-intervention Survey - Children's Module - LA County

Adoption, Health Impact and Cost of Smoke-Free Multi-Unit Housing Policies

OMB: 0920-1004

IC ID: 204444

Information Collection (IC) Details

View Information Collection (IC)

MUH Resident Post-intervention Survey - Children's Module - LA County
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Resident Post-intervention - Children's Module - English Att 9A(e)_Post Intervention Resident Survey.doc No No Paper Only

Health Immunization Management

 

250 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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 63 0 63 0 0 0
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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