Healthy Start Site Visit Protocol

National Healthy Start Evaluation and Quality Assurance

OMB: 0915-0338

IC ID: 211290

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Healthy Start Site Visit Protocol
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction G. HS Site Visit Protocols_revised.docx Yes Yes Fillable Fileable

Health Health Care Services

 

15 0
   
Private Sector Not-for-profit institutions
 
   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 0 0 -15 0 0 15
Annual IC Time Burden (Hours) 0 0 -90 0 0 90
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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