WTC Health Program for Responders at Rutgers University

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIOSH 2)

OMB: 0920-0953

IC ID: 219421

Information Collection (IC) Details

View Information Collection (IC)

WTC Health Program for Responders at Rutgers University 16HB
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Patient Survey RutgersSurvey.doc No   Paper Only

Workforce Management Worker Safety

 

600 0
   
Individuals or Households
 
   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 600 0 600 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval Rutgers Request form.docx 12/24/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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