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Information Collection

Child Maltreatment Surveillance (Sample Web-based Assessment

IC 191930 under ICR 201004-0920-004 · OMB 0920-0847.

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

View Information Collection (IC)

Child Maltreatment Surveillance (Sample Web-based Assessment
 
Removed
 
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 0 0 -432,000 0 0 432,000
Annual IC Time Burden (Hours) 0 0 -72,000 0 0 72,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.