BABI 12 - Month Questionnaire

Balance After Baby Intervention

OMB: 0920-1115

IC ID: 219649

Information Collection (IC) Details

View Information Collection (IC)

BABI 12 - Month Questionnaire 0920-15BEB
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-15BEB Att 5_BABI_12MQuestionnaire_ENG_ Att 5_BABI_12MQuestionnaire_ENG_V1 0_01122016.pdf No   Fillable Printable
Form and Instruction 0920-15BEB Att 5s_BABI_12MQuestionnaire_SPAN Att 5s_BABI_12MQuestionnaire_SPAN_V1 0_01122016.pdf Yes No Fillable Printable

Health Illness Prevention

 

57 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 57 0 57 0 0 0
Annual IC Time Burden (Hours) 13 0 13 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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