Site Visit Assessment Inteview

National Resource Center for Mental Health Promotion and Youth Violence Prevention

OMB: 0930-0374

IC ID: 226040

Information Collection (IC) Details

View Information Collection (IC)

Site Visit Assessment Inteview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Site Visit Assessment Site Visit Assessment NRC OMB Attachment 2 Site Visit Assessment 11-2-16.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

14 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 14 0 14 0 0 0
Annual IC Time Burden (Hours) 11 0 11 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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