State Collaborator Survey

Mulit-Site Evaluation of the Safe Schools/Healthy Students (SS/HS) State Program

OMB: 0930-0347

IC ID: 213250

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

State Collaborator Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction State Collaborator Survey State Collaborator Survey Attachment C_State Collaborator Survey.docx Yes Yes Fillable Fileable

Health Health Care Services

 

208 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 208 0 208 0 0 0
Annual IC Time Burden (Hours) 104 0 104 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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