Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Human Service Assistants

Resources and Services Database of the National Prevention Information Network

OMB: 0920-0255

IC ID: 178806

Information Collection (IC) Details

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Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Human Service Assistants
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Appendix F: Annual update Request (E-Mail) Annual update Request (E-Mail).doc Yes Yes Fillable Fileable
Form and Instruction 0920-0255 Att3A_Initial_Res_Org_Quest Att3A_Initial_Res_Org_Quest.docx Yes Yes Fillable Printable
Form and Instruction 0920-0255 Att3B_initial_quest_tele_scriptClean Att3B_initial_quest_tele_scriptClean.docx Yes Yes Fillable Printable

Health Health Care Services

 

400 96
   
Private Sector Not-for-profit institutions
 
   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 400 0 0 240 0 160
Annual IC Time Burden (Hours) 100 0 0 60 0 40
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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