Att 4_Baseline Survey (Intervention)

The Girl Power Project Efficacy Trial

OMB: 0920-1134

IC ID: 220115

Documents and Forms
Document Name
Document Type
Other-Screenshots
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Att 4_Baseline Survey (Intervention) 16OJ
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screenshots Att 4 Survey Baseline Intervention.pdf Yes Yes Fillable Fileable

Health Illness Prevention

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the US Population  49 FR 47413

600 0
   
Individuals or Households
 
   100 %

  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 600 0 600 0 0 0
Annual IC Time Burden (Hours) 150 0 150 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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