Grantee-Level Outcomes Module

Strategic Prevention Framework for Prescription Drugs (SPF-Rx)

OMB: 0930-0377

IC ID: 241772

Information Collection (IC) Details

View Information Collection (IC)

Grantee-Level Outcomes Module
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Grantee-Level Outcomes Grantee-Level Outcomes Attachment 2_SPF-Rx Grantee-Level Outcomes_Module_11.21.19.docx 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 25 0 25 0 0 0
Annual IC Time Burden (Hours) 143 0 143 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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