AAP 6 Month Follow-up Evaluation Survey (Pediatrics)

Improving Fetal Alcohol Spectrum Disorders Prevention and Practice through Practice and Implementation Centers and National Partnerships

OMB: 0920-1129

IC ID: 220412

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

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AAP 6 Month Follow-up Evaluation Survey (Pediatrics) 0920-1129 (17AUR)
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1129 AAP Six-Month Follow-Up Evaluation Survey AAP Six_Month_Followup_Training_Evaluation_Survey_Spanish_Screenshot_REV....pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

120 0
   
Individuals or Households
 
   100 %

  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 0 0 0 -120 120 0
Annual IC Time Burden (Hours) 0 0 0 -10 10 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
AAP Six-Month Follow-Up Trainig Evaluation Survey (SPANISH) AAP Six Month Follow Up Evaluation Survey_Final_Spanish_REVIEWED.docx 07/20/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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