Program attendance and content coverage protocol

Pregnancy Assistance Fund (PAF) Implementation Study

OMB: 0990-0428

IC ID: 215077

Information Collection (IC) Details

View Information Collection (IC)

Program attendance and content coverage protocol
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data 0990-NEW_ PAF Instrument 5_Program Attendance Data Collection Protocol.docx No   Paper Only

Health Health Care Services

 

2 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 24 0 24 0 0 0
Annual IC Time Burden (Hours) 12 0 12 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Confidentiality Pledge 0990-New-PAF Attachment D_Confidentiality Pledge.pdf 02/24/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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