FASD P-CAP Client Lost Post Exit

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

OMB: 0930-0309

IC ID: 191220

Information Collection (IC) Details

View Information Collection (IC)

FASD P-CAP Client Lost Post Exit
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Client Lost Post Exit Client Lost Post Exit 11 Client Lost Post Exit.pdf Yes Yes Paper Only

Health Public Health Monitoring

 

29 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 29 0 29 0 0 0
Annual IC Time Burden (Hours) 7 0 7 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.

© 2024 OMB.report | Privacy Policy