Annual Progress Report

[NCCDPHP] Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) Reporting System

OMB: 0920-0612

IC ID: 191867

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Annual Progress Report 0920-0612-23HT
 
No Modified
 
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 None WISEWOMAN Annual Progress Report Att 5 Annual Progress Report.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

40 0
   
State, Local, and Tribal Governments
 
   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 40 0 5 0 0 35
Annual IC Time Burden (Hours) 640 0 80 0 0 560
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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