Weekly Tally Sheet

Toolkit Protocol for the Crisis Counseling Assistance and Training Program (CCP)

OMB: 0930-0270

IC ID: 201609

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Weekly Tally Sheet
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Weekly Tally Sheet Attachment_C_WeeklyTallySheet 7.31.12.docx Yes Yes Paper Only

Health Illness Prevention

 

200 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 6,600 0 6,600 0 0 0
Annual IC Time Burden (Hours) 1,320 0 1,320 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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