(Private Sector) Awardee Partners Network Survey

WISEWOMAN National Program Evaluation: Implementation Assessment

OMB: 0920-1068

IC ID: 214157

Information Collection (IC) Details

View Information Collection (IC)

(Private Sector) Awardee Partners Network Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Awardee Partners Network Survey (Private Sector) Attachment D1 WISEWOMAN network survey.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

59 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 59 0 59 0 0 0
Annual IC Time Burden (Hours) 30 0 30 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Survey Invitation Attachment D2 network survey invitation.docx 12/04/2014
Survey Reminder Attachment D3 network survey reminder.docx 12/04/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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