Parents (screening)

The Healthy Communities Study: How Communities Shape Children?s Health (NHLBI)

OMB: 0925-0649

IC ID: 199544

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Parents (screening)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 6 Family Screener HCS_SSA_ATTACH 6_FAMILY SCREENING_SEPTEMBER 2011 FINAL for OMB.docx No No Fillable Fileable

Health Health Care Services

 

56,550 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 56,550 0 56,550 0 0 0
Annual IC Time Burden (Hours) 9,614 0 9,614 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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