Annual cost analysis - health department

Cooperative Re-Engagement Controlled Trial (CoRECT)

OMB: 0920-1133

IC ID: 220469

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Annual cost analysis - health department
 
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Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Annual Cost Analysis - health dept Appendix 13d Annual CoRECT Cost analysis _6 and 12 month form_Health Department.docx Yes Yes Fillable Fileable

Health Health Care Services

 

3 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 6 0 6 0 0 0
Annual IC Time Burden (Hours) 9 0 9 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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