Child Maltreatment Surveillance (Sample Web-based Assessment

Voluntary Product Satisfaction and Usability Assessment

OMB: 0920-0847

IC ID: 191930

Documents and Forms
Document Name
Document Type
Other-Word
Information Collection (IC) Details

View Information Collection (IC)

Child Maltreatment Surveillance (Sample Web-based Assessment
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Word Attachment 5.pdf Yes Yes Fillable Printable

Health Consumer Health and Safety

 

432,000 0
   
Individuals or Households
 
   0 %

  Requested 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 432,000 0 0 0 0 0
Annual IC Time Burden (Hours) 72,000 0 0 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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