FASD P-CAP ASI - Part B

Fetal Alcohol Spectrum Disorder (FASD) Center for Excellence Parent-Child Assistance Program (P-CAP)

OMB: 0930-0309

IC ID: 191212

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

FASD P-CAP ASI - Part B
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ASI - Part B ASI - Part B 3 ASIIntakeBwithtwin.pdf Yes Yes Paper Only

Health Public Health Monitoring

 

190 0
   
State, Local, and Tribal Governments
 
   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 190 0 190 0 0 0
Annual IC Time Burden (Hours) 48 0 48 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment II and III Attachment II and III.zip 10/27/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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