Facilitator Survey

SMARTool Pilot Replication Project

OMB: 0937-0207

IC ID: 233491

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Facilitator Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 6 Process Evaluation Facilitator Survey Appendix E. Process Evaluation Facilitator Survey.docx No   Paper Only

Health Consumer Health and Safety

 

8 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 8 0 8 0 0 0
Annual IC Time Burden (Hours) 3 0 3 0 0 0
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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