Evaluation Plan

Strategic Prevention Framework for Prescription Drugs (SPF-Rx)

OMB: 0930-0377

IC ID: 227233

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Evaluation Plan
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Evaluation Plan Evaluation Plan Attachment_6_SPF-Rx_EvalChecklist_6_19_17_.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

25 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 0 -25 0 25
Annual IC Time Burden (Hours) 0 0 0 -200 0 200
Annual IC Cost Burden (Dollars) 0 0 0 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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