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The Strategic Prevention Framework State Incentive Grant (SPF SIG) State-Level Interview Protocols

IC 43645 under ICR 200610-0930-005 · OMB 0930-0279.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
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The Strategic Prevention Framework State Incentive Grant (SPF SIG) State-Level Interview Protocols
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CLI - Part I CLI - Part I CLI Part I instrument OMB version 8-3-06 sent to CSAP .doc No No Paper Only
Form and Instruction CLI - Part II CLI - Part II CLI Part II instrument OMB version 8-3-06 sent to CSAP.doc No No Paper Only

Health Health Care Services

 

390 0
   
State, Local, and Tribal Governments
 
   50 %

  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 390 0 338 0 0 52
Annual IC Time Burden (Hours) 6,856 0 6,622 0 0 234
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CLI - Appendices A-E CLI OMB Appendices A-E 8-03-06.doc 10/13/2006
CLI - Appendices F-O CLI OMB Appendices F-O 5-22-06.doc 10/13/2006
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.