Participant Pretest (Adult Comparison group participants)

COMMUNITY EVALUATION OF THE NATIONAL DIABETES EDUCATION PROGRAMS DIABETES HEALTHSENSE WEBSITE

OMB: 0925-0694

IC ID: 210070

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Participant Pretest (Adult Comparison group participants)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 5 Participant Pretest 3A - NDEP DHS Particpant Pretest_121913_OMB30.pdf Yes Yes Fillable Printable

Health Health Care Services

 

250 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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 83 0 83 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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