Site Coordinator Interview

A Comprehensive Assessment of the National Program to Eliminate Diabetes Related Health Disparities in Vulnerable Populations

OMB: 0920-1070

IC ID: 215533

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Site Coordinator Interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Site Coordinator Interview Guide Att 6 Site Coordinator Interview Guide_3 02 2015.doc Yes No Paper Only

Health Public Health Monitoring

 

18 0
   
Private Sector Businesses or other for-profits
 
   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 18 0 18 0 0 0
Annual IC Time Burden (Hours) 27 0 27 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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