Special Emphasis Reports

Program Evaluation of CDC’s Core State Injury Prevention Program

OMB: 0920-1365

IC ID: 249953

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Special Emphasis Reports 0920-21GB
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-21GB Special Emphasis Report Examples Attachment K_Special Emphasis Report Example.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

23 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 23 0 23 0 0 0
Annual IC Time Burden (Hours) 230 0 230 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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