BABI 18 - Month Questionnaire

Balance After Baby Intervention

OMB: 0920-1115

IC ID: 219653

Information Collection (IC) Details

View Information Collection (IC)

BABI 18 - Month Questionnaire 0920-15BEB
 
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 18-month Questionnaire (English) Attachment 6_BABI_18MQuestionnaire_ENG_V1.0.pdf Yes Yes Fillable Fileable
Form and Instruction n/a 18-month Questionnaire (Spanish) Attachment 6s_BABI_18MQuestionnaire_SPAN_V1.0.pdf Yes Yes Fillable Fileable

Health Illness Prevention

 

54 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 54 0 0 0 0 54
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
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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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