Information Collection Request

Prevention and Public Health Funds Evidence-Based Falls Prevention Program Information Collection

ICR 201410-0985-001 · OMB 0985-0039 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 5 Prevention and Public Health Funds Evidence-Based Falls Prevention Program (Staff Respondents) Form and Instruction New Available
Form 1 Prevention and Public Health Funds Evidence-Based Falls Prevention Program (Local Respondents) Form and Instruction New Available
Form 2 Prevention and Public Health Funds Evidenced-Based Falls Prevention Program (Individuals) Form and Instruction New Available
Falls Supporting_Statement 1-23-15.docx Supporting Statement A Uploaded 2015-01-26 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2018 36 Months From Approved
10,862 0 0
3,044 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,862 0 0 10,862 0 0
Annual Time Burden (Hours) 3,044 0 0 3,044 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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