Interviews with Wellness Nurses

Evaluation of the Supportive Services Demonstration

OMB: 2528-0321

IC ID: 259308

Documents and Forms
Document Name
Document Type
Other-Interviews with Wellness Nurse
Other-Interviews with Wellness Nurse
Information Collection (IC) Details

View Information Collection (IC)

Interviews with Wellness Nurses
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interviews with Wellness Nurses Final - Apendixes.docx No   Paper Only

Community and Social Services Community and Regional Development

 

44 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 44 0 44 0 0 0
Annual IC Time Burden (Hours) 132 0 132 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.

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