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Information Collection

Assessing Effectiveness Brochure: LHD/NHHE Progam Working Together AND STD Prevention Services

IC 208743 under ICR 201110-0920-004 · OMB 0920-0879.

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Information Collection (IC) Details

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Assessing Effectiveness Brochure: LHD/NHHE Progam Working Together AND STD Prevention Services
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att A - MS Word Instrument.docx Yes Yes Fillable Printable
Other-WORD Att H - HHE_Data collection instrument (web version) (2).docx Yes Yes Fillable Printable
Other-WORD Att G - HHE_Data collection instrument (Word).docx Yes Yes Fillable Printable
Other-WORD Att B - Web version Instrument.docx Yes Yes Fillable Printable
Other-WORD Att A1 - Data Collection Definitions.docx Yes Yes Printable Only

Health Health Care Services

 

877 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 877 0 0 0 0 0
Annual IC Time Burden (Hours) 209 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att D - First Reminder E-Mail Att D - First Reminder E-Mail.docx 08/27/2013
Att A - NOA_0920-0260 11-2011 Att A - NOA_0920-0260 11-2011.pdf 08/27/2013
Att B - Example HHE report Att B - Example HHE report.pdf 08/27/2013
Att C - National Academies brief report Att C - National Academies brief report.pdf 08/27/2013
Att D - Implementation Plan Att D - Implementation Plan.pdf 08/27/2013
Att E - HHE Strategic Plan FY2012 (2) (3) Att E - HHE Strategic Plan FY2012 (2) (3).pdf 08/27/2013
Att F - Brochure Att F - Brochure.pdf 08/27/2013
Att I - Invitation email Att I - Invitation email.docx 08/27/2013
Att J - Email reminder - day 7 Att J - Email reminder - day 7.docx 08/27/2013
Att K - Email reminder- day 12 Att K - Email reminder- day 12.docx 08/27/2013
HHE SupSta-A HHE SupSta-A.docx 08/27/2013
HHE SupSta-B HHE SupSta-B.docx 08/27/2013
Att C - Invitation E-Mail Att C - Invitation E-Mail.docx 08/27/2013
Att E - Second-Final Reminder E-Mail Att E - Second-Final Reminder E-Mail.docx 08/27/2013
SupSta A - STD Prev Serv SupSta A - STD Prev Serv.docx 08/27/2013
SupSta B - STD Prev Serv SupSta B - STD Prev Serv.docx 08/27/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.