Instrument 2: LIA Survey

Family Level Assessment and State of Home Visiting (FLASH-V) Outreach and Recruitment Study

OMB: 0970-0559

IC ID: 243695

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

View Information Collection (IC)

Instrument 2: LIA Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-LIA Survey Instrument 2_LIA Survey_REVISED 1.15.21_CLEAN.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

779 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 390 0 390 0 0 0
Annual IC Time Burden (Hours) 203 0 203 0 0 0
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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