OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Alabama Safe Sleep Outreach Project

IC 220000 under ICR 201403-0925-009 · OMB 0925-0701.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Alabama Safe Sleep Outreach Project
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Substudy AlabamaOutreach PaperworkChecklist 0925-0701_Substudy_AlabamaOutreach_ PaperworkChecklist.docx No   Paper Only
Form and Instruction 2 Substudy AlabamaOutreach PrePostAssessment 0925-0701_Substudy_AlabamaOutreach_ PrePostAssessment.docx No   Paper Only
Form and Instruction 3 Substudy AlabamaOutreach Activity/Tracking 0925-0701_Substudy_AlabamaOutreach_ActivityTracking.docx No   Paper Only
Form and Instruction 4 Substudy AlabamaOutreach Signin 0925-0701_Substudy_AlabamaOutreach_SignIn.docx No   Paper Only

Health Health Care Services

 

2,630 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 2,630 0 2,630 0 0 0
Annual IC Time Burden (Hours) 189 0 189 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Substudy_AlabamaOutreach Mini SSA 0925-0701_Substudy_AlabamaOutreach_ MiniSSA.docx 02/05/2016
Substudy_AlabamaOutreach Mini SSB 0925-0701_Substudy_AlabamaOutreach_ MiniSSB.docx 02/05/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.