Attachment C.3: Follow-up coach survey

Variations in Implementation of Quality Interventions (VIQI)

OMB: 0970-0508

IC ID: 231365

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

View Information Collection (IC)

Attachment C.3: Follow-up coach survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey C.3_VIQI OMB 30 Follow-up Coach Survey_revised clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

61 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 61 0 0 0 0 61
Annual IC Time Burden (Hours) 31 0 0 0 0 31
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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