Innovation Site Visit Discussion Guide - Providers

WISEWOMAN National Program Evaluation

OMB: 0920-1279

IC ID: 238086

Documents and Forms
Document Name
Document Type
Other-Discussion Guide
Information Collection (IC) Details

View Information Collection (IC)

Innovation Site Visit Discussion Guide - Providers
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Discussion Guide Attachment D5 Innovation recipient protocol.docx Yes No Paper Only

Health Public Health Monitoring

 

2 0
   
State, Local, and Tribal Governments
 
   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 2 0 2 0 0 0
Annual IC Time Burden (Hours) 2 0 2 0 0 0
Annual IC Cost Burden (Dollars) 143 0 143 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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