Pediatricians Survey

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

OMB: 0920-1129

IC ID: 220410

Information Collection (IC) Details

View Information Collection (IC)

Pediatricians Survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Survey of Pediatricians S4 Survey of Pediatricians - Baseline and Follow Up.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

534 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 1,068 0 0 0 0 1,068
Annual IC Time Burden (Hours) 178 0 0 0 0 178
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Survey of Pediatricians I7 Survey of Pediatricians - Baseline and Follow Up.docx 03/02/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy