Interim Behavioral Assessment Month 5

WHAM: Women Health and Mindfulness Program

OMB: 0990-0414

IC ID: 207863

Information Collection (IC) Details

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Interim Behavioral Assessment Month 5
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 19144_ID (WHAM) Women's Health and Mindfulness Program - Interim Behavioral Assessment Month (5).docx No No Printable Only

Health Illness Prevention

 

40 0
   
Individuals or Households
 
   0 %

  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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 7 0 7 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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