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Measuring Preferences for Quality of Life for Child Maltreatment Survey Instrument: Ages 18-29

IC 201912 under ICR 201204-0920-001 · OMB 0920-0930.

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

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Measuring Preferences for Quality of Life for Child Maltreatment Survey Instrument: Ages 18-29
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Attachment D Childhood Experiences Survey Attachment D - Survey Instrument 3-29-2012.docx Yes Yes Fillable Fileable

Health Health Care Services

 

750 0
   
Individuals or Households
 
   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 750 0 750 0 0 0
Annual IC Time Burden (Hours) 313 0 313 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment E_Survey-Instrument Attachment E_Survey-Instrument.docx 04/03/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.