Core VIPP Funded State Health Department--State of the States Survey

Evaluation of Core Violence and Injury Prevention Program

OMB: 0920-0916

IC ID: 200343

Information Collection (IC) Details

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Core VIPP Funded State Health Department--State of the States Survey
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 State of the States Survey in PDF format Attachment C-1 - PDF.pdf Yes Yes Fillable Printable

Health Health Care Services

 

28 0
   
State, Local, and Tribal Governments
 
   50 %

  Requested 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 28 0 0 0 0 28
Annual IC Time Burden (Hours) 84 0 0 0 0 84
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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