Great Lakes Healthcare Providers Comprehensive Post-test

Fetal Alcohol Spectrum Disorders Regional Training Centers

OMB: 0920-0954

IC ID: 204250

Information Collection (IC) Details

View Information Collection (IC)

Great Lakes Healthcare Providers Comprehensive Post-test
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Great Lakes Comprehensive Post-test E11a_screenshots Great Lakes FASD RegionalTraining Center QUALTRICS FASD Com.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

220 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 220 0 220 0 0 0
Annual IC Time Burden (Hours) 73 0 73 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Great Lakes Comprehensive Post-test - Word E11_Great Lakes FASD RegionalTraining Center FASD Comprehensive_1.docx 09/19/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy