Institutional Awareness and Commitment Survey (State Health Departments)

Institutional Awareness and Commitment to Ensuring Safe, Stable, and Nurturing Relationships and Environments for Children

OMB: 0920-1010

IC ID: 210317

Information Collection (IC) Details

View Information Collection (IC)

Institutional Awareness and Commitment Survey (State Health Departments)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attachment D - Survey.docx Yes Yes Fillable Printable

Health Immunization Management

 

8 0
   
State, Local, and Tribal Governments
 
   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 8 0 8 0 0 0
Annual IC Time Burden (Hours) 4 0 4 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment C - Survey Screenshots Attachment C - Survey Screenshots.pdf 02/06/2014
Attachment E- Email Invitation Attachment E- Email Invitation.docx 02/06/2014
Attachment F - Email Invitation Follow-up Attachment F - Email Invitation Follow-up.docx 02/06/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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