Program Survey - Sample

Attachement 3. Example of Programmed Survey.PNG

[OS] CDC/ATSDR Formative Research and Tool Development

Program Survey - Sample

OMB: 0920-1154

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1154 can be found here:

2025-07-16 - No material or nonsubstantive change to a currently approved collection
2025-07-09 - No material or nonsubstantive change to a currently approved collection

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