180-day Follow-up Interview--Grantee

Community-based Organization (CBO) Monitoring and Evaluation Project of RESPECT (CMEP-RESPECT)

OMB: 0920-0895

IC ID: 198830

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180-day Follow-up Interview--Grantee
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screen Shot Respect Screen shots.doc Yes Yes Fillable Printable

Health Immunization Management

 

4 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 48 0 48 0 0 0
Annual IC Time Burden (Hours) 4 0 4 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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