Bodyworks program particpants(English & Spanish Participant Exit Survey-Post Only Pilot Study)

Multi-Component Evaluation of the Bodyworks Program

OMB: 0990-0385

IC ID: 198436

Information Collection (IC) Details

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Bodyworks program particpants(English & Spanish Participant Exit Survey-Post Only Pilot Study)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-BodyWorks_Post Only_Participant Exit Survey_ENG.docx Yes Yes Fillable Printable
Other-survey 0990-BodyWorks_Post Only_Participant Exit Survey_SPAN.docx Yes Yes Fillable Printable

Health Illness Prevention

 

100 0
   
Individuals or Households
 
   0 %

  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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
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.

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