Evaluation of the Safe Dates Project - Follow-Up Prevention Coordinator Survey

Evaluation of the Safe Dates Project

OMB: 0920-0783

IC ID: 183246

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Evaluation of the Safe Dates Project - Follow-Up Prevention Coordinator Survey
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Follow-Up Prevention Coordinator Survey.doc Yes No Fillable Printable

Health Illness Prevention

 

1 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 49 0 49 0 0 0
Annual IC Time Burden (Hours) 4 0 4 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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