2-Enhanced Component -Initial Population-Annual Progress Report

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

OMB: 0920-1120

IC ID: 220451

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Document Name
Document Type
Other-WORD
Information Collection (IC) Details

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2-Enhanced Component -Initial Population-Annual Progress Report 16BZ
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att C2_Enhanced 021116.pdf Yes Yes Fillable Printable

Health Public Health Monitoring

 

5 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 5 0 5 0 0 0
Annual IC Time Burden (Hours) 730 0 730 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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