[OPHDST] Advancing Data for Public Health Action Partner Survey

[OADC] CDC Usability and Digital Content Testing

OMB: 0920-1050

IC ID: 271851

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Document Name
Document Type
Form
Form
IC Document
IC Document
Information Collection (IC) Details

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[OPHDST] Advancing Data for Public Health Action Partner Survey 0920-25AK
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-25AK ADPHA Survey Att A - ADPHA Survey.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

500 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 500 0 0 0 0 500
Annual IC Time Burden (Hours) 125 0 0 0 0 125
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request 0920-1050 ADPHA Survey.docx 10/24/2024
SSA SSA_0920-1050_ADPHA Survey.docx 10/24/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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