Postive Monitor Tracking

Fetal Alcohol Spectrum Disorders (FASD) Center for Excellence Diagnosis and Intervention Project

OMB: 0930-0312

IC ID: 193176

Information Collection (IC) Details

View Information Collection (IC)

Postive Monitor Tracking
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form B - DxInt. Positive Monitor Tracking Form B - DxInt. Positive Monitor Tracking B- DxInt. Positive Monitor Tracking.doc Yes Yes Paper Only

Health Public Health Monitoring

 

450 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 450 0 450 0 0 0
Annual IC Time Burden (Hours) 14 0 14 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent Forms Consent forms.pdf 05/27/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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