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Customer Satisfaction and Usability of the Technical Packages for Violence Prevention

IC 228321 under ICR 201612-0920-007 · OMB 0920-1009.

Documents and Forms
Document Name
Document Type
Other-WORD
Other-Sreenshots
IC Document
Information Collection (IC) Details

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Customer Satisfaction and Usability of the Technical Packages for Violence Prevention 17AYY
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att. A Instrument.docx Yes Yes Fillable Fileable
Other-Sreenshots Att. B DVP Screenshot.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

2,000 0
   
Individuals or Households
 
   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 2,000 0 2,000 0 0 0
Annual IC Time Burden (Hours) 167 0 167 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval Request GenIc DVP-TP.docx 09/13/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.