Prevention and Public Health Funds Evidence-Based Falls Prevention Program (Staff Respondents)

Prevention and Public Health Funds Evidence-Based Falls Prevention Program Information Collection

OMB: 0985-0039

IC ID: 213600

Information Collection (IC) Details

View Information Collection (IC)

Prevention and Public Health Funds Evidence-Based Falls Prevention Program (Staff Respondents)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 5 Falls Semi-Annual Progress Report and Template Instructions Falls-Semi-Annual-Progress-Report-and-Template-Instructions - 9.18.17.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

18 0
   
Private Sector Not-for-profit institutions
 
   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 36 0 8 0 28 0
Annual IC Time Burden (Hours) 288 0 64 0 224 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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