Follow-up survey (at birth)

Adolescent Family Life Care Program Core Evaluation

OMB: 0990-0290

IC ID: 186450

Information Collection (IC) Details

View Information Collection (IC)

Follow-up survey (at birth)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0990-0290 Follow-up survey 0990-0290Appendix B_Draft Care Follow up_OMB_09-02-08_sbj_MK.doc No No Paper Only

Health Public Health Monitoring

 

13,000 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 13,000 0 13,000 0 0 0
Annual IC Time Burden (Hours) 4,983 0 4,983 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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