Annual Progress Report

Well-Integrated Screening and Evaluation for Women Across the Nation(WISEWOMAN) Reporting System

OMB: 0920-0612

IC ID: 191867

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Annual Progress Report
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment 5 Annual Progress Report 02 27 2013.doc Yes Yes Fillable Printable

Health Health Care Services

 

21 0
   
State, Local, and Tribal Governments
 
   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 21 0 0 0 0 21
Annual IC Time Burden (Hours) 336 0 0 0 0 336
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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