Information Collection Request

Prevention and Public Health Funds Evidence-Based Falls Prevention Program Information Collection

ICR 202401-0985-002 · OMB 0985-0039 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Evidence-Based Falls Prevention Program (Project Staff) Form and Instruction Modified Repair queued
Evidence-Based Falls Prevention Program (Local Respondents) Form and Instruction Modified Repair queued
Participant Information Forms Form and Instruction Modified Repair queued
0039 Falls Prevention Supporting Statement A 2024 (1).docx Supporting Statement A Uploaded 2024-04-23 Repair queued
0039 Summary of Public Comments.docx Supplementary Document Uploaded 2024-04-23 Repair queued
0039 Falls Prevention Public Comments Supplementary Document Uploaded 2024-04-23 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
213600 Evidence-Based Falls Prevention Program (Project Staff) Form and Instruction Modified
213599 Evidence-Based Falls Prevention Program (Local Respondents) Form and Instruction Modified
213597 Participant Information Forms Form and Instruction Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/ACL
OMB Control No0985-0039
Type of Information CollectionExtension without change of a currently approved collection
Previous ICR Reference No202103-0985-001
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31