BABI 6 - Week Questionnaire

Balance After Baby Intervention

OMB: 0920-1115

IC ID: 219641

Information Collection (IC) Details

View Information Collection (IC)

BABI 6 - Week Questionnaire 15BEB
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a 6-week Questionnaire (English) Attachment 3_BABI_6WQuestionnaire_ENG_V1.0.pdf Yes Yes Fillable Printable
Form and Instruction n/a 6-week Questionnaire (Spanish) Attachment 3s_BABI_6WQuestionnaire_SPAN_V1.0.pdf Yes Yes Fillable Fileable

Health Illness Prevention

 

63 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 63 0 0 0 0 63
Annual IC Time Burden (Hours) 18 0 0 0 0 18
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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