Grantee program staff-Tier 1 C/D, Tier 2, and PREIS grantees

ACYF Pregnancy Prevention Performance Measure Collection

OMB: 0990-0392

IC ID: 216296

Information Collection (IC) Details

View Information Collection (IC)

Grantee program staff-Tier 1 C/D, Tier 2, and PREIS grantees
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-0392Appendix D TPP Performance Measures and questions participant level measures cd tier2 grantees only 9 2014 (3) (3).pdf Yes Yes Fillable Printable

Health Health Care Services

 

45 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 45 0 45 0 0 0
Annual IC Time Burden (Hours) 45 0 45 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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