Mobility Planning Tool (MPT)

Older Adult Safe Mobility Assessment Tool

OMB: 0920-1005

IC ID: 217704

Information Collection (IC) Details

View Information Collection (IC)

Mobility Planning Tool (MPT)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none MPT Clean Attachment C3a_Mobility Planning Tool_disclaimer.pdf No   Paper Only

Health Illness Prevention

09-20-0160 Records of Subjects in Health Promotion and Education Studies  51 FR 42484

500 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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 250 0 250 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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