CBIT Program Evaluation

Tourette Syndrome National Education and Outreach Program

OMB: 0920-0901

IC ID: 198874

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Document Name
Document Type
Other-WORD
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CBIT Program Evaluation
 
No Modified
 
Voluntary
 
42 CFR 241, Sec 301 42 CFR 247b-4, Sec 317C  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att C5 CBIT Prog Eval Form.doc Yes No Fillable Printable

Health Consumer Health and Safety

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  51 FR 42449

500 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 500 0 0 0 0 500
Annual IC Time Burden (Hours) 17 0 0 0 0 17
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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