FASD Toolkit User Survey

Improving Fetal Alcohol Spectrum Disorders Prevention and Practice through Practice and Implementation Centers and National Partnerships

OMB: 0920-1129

IC ID: 220417

Information Collection (IC) Details

View Information Collection (IC)

FASD Toolkit User Survey 17ADN
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none FASD Toolkit User Survey FASD Toolkit User Survey.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

50 0
   
Individuals or Households
 
   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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 13 0 0 0 0 13
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
FASD Toolkit User Survey - word FASD Toolkit User Survey_Edited.docx 05/09/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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