Frontier Allied Health Practioner Follow-up

Fetal Alcohol Spectrum Disorders Regional Training Centers

OMB: 0920-0954

IC ID: 204230

Information Collection (IC) Details

View Information Collection (IC)

Frontier Allied Health Practioner Follow-up
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Allied Health Follow-up D9 Frontier Regional FASD Training Center Practitioner Follow-up.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

200 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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 50 0 50 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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