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Instrument 4_Listening visit topic guide for clinical service providers

IC 254867 under ICR 202207-0990-006 · OMB 0990-0483.

Documents and Forms
Document Name
Document Type
Other-Listening visit topic guide
Other-Listening visit topic guide
Information Collection (IC) Details

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Instrument 4_Listening visit topic guide for clinical service providers
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Listening visit topic guide Instrument 4_Listening visit topic guide for clinical service providers.docx No   Fillable Printable

Health Public Health Monitoring

 

53 0
   
Individuals or Households
 
   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 53 0 53 0 0 0
Annual IC Time Burden (Hours) 53 0 53 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 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.