YSI Program Users (Post-Use Survey)

Evaluation of the Young Sisters Initiative: A Guide to A Better You! Program

OMB: 0920-0951

IC ID: 204464

Information Collection (IC) Details

View Information Collection (IC)

YSI Program Users (Post-Use Survey)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Post-Use Survey Screenshots Att 5A_YSI Program Post-Use Survey_9 17 2012.pdf Yes Yes Fillable Fileable

Health Immunization Management

 

300 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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 100 0 100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Word Version - Post-Use Survey Att 5B_Full Version YSI Program Post-Use Survey_ 9 17 2012.docx 09/27/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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