Data Entry Group-Behavioral Health Preventive Care

Behavioral Health Preventive Care Assissment Focus Group

OMB: 0917-0032

IC ID: 188810

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

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Data Entry Group-Behavioral Health Preventive Care
 
No New
 
Voluntary
 
5 CFR 1320.05

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None None Data Entry Questions (final) 10-10-08.doc No No Paper Only

Health Public Health Monitoring

 

3 0
   
Federal Government
 
   30 %

  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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 60 0 60 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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