Attending Physicians Overall Program Assessment

Assessment of a Training Program to Improve Continuity of Care for Children and Families Affected by Fetal Alcohol Spectrum Disorders (FASD)

OMB: 0920-1347

IC ID: 248405

Information Collection (IC) Details

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Attending Physicians Overall Program Assessment
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a FASD Precepting Attending Program Evaluation A10_program evaluation.docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

10 0
   
Private Sector Businesses or other for-profits
 
   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 10 0 10 0 0 0
Annual IC Time Burden (Hours) 3 0 3 0 0 0
Annual IC Cost Burden (Dollars) 296 0 296 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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