Screener for Follow-up Assessment of Matter of Balance Programs

Cost and Follow-up Assessment of Administration on Aging (AoA) - Funded Fall Prevention Programs for Older Adults

OMB: 0920-0818

IC ID: 188657

Information Collection (IC) Details

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Screener for Follow-up Assessment of Matter of Balance Programs
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Screener for Follow-up Assessment Attachment 2a - Screener for Matter of Balance Evaluation.doc No No Fillable Fileable

Health Illness Prevention

 

500 0
   
Individuals or Households
 
   100 %

  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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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