BASE -Evaluation and Performance Mgmt Plan

Monitoring and Reporting for the Core State Violence and Injury Prevention Program Cooperative Agreement

OMB: 0920-1120

IC ID: 220415

Documents and Forms
Document Name
Document Type
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BASE -Evaluation and Performance Mgmt Plan
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attachment D_063016_F.pdf NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

20 0
   
State, Local, and Tribal Governments
 
   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 20 0 20 0 0 0
Annual IC Time Burden (Hours) 40 0 40 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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