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Audlt Viral Hepatitis Prevention Coordinators
Evaluation of Implementation of the Viral Hepatitis Action Plan
OMB: 0990-0408
IC ID: 206334
OMB.report
HHS/HHSDM
OMB 0990-0408
ICR 201304-0990-001
IC 206334
( )
Documents and Forms
Document Name
Document Type
18521_ID -ViralHepatitis- 3 AVHPC interview guide.docx
Other-guide
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Audlt Viral Hepatitis Prevention Coordinators
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-guide
18521_ID -ViralHepatitis- 3 AVHPC interview guide.docx
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
4
0
4
0
0
0
Annual IC Time Burden (Hours)
6
0
6
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.