Ex Assessment TBC Recipient Interview Guide_WW (Attachment 4g)

[NCCHPHP] Comprehensive Evaluations of theDP-23-003, DP-23-004, and DP-23-0005 Cooperative Agreement Programs: The National Cardiovascular Health Program, The Innovative Cardiovascular Health Program

OMB: 0920-1453

IC ID: 271846

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Ex Assessment TBC Recipient Interview Guide_WW (Attachment 4g) 0920-24FI
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-24FI In-Depth Assessment – Exploratory Assessment Recipient Interview Guide – Team-Based Care – WISEWOMAN Att 4g. Ex Assessment_TBC_Recipient_Interview Guide_WW.docx No   Fillable Fileable

Health Public Health Monitoring

 

2 0
   
State, Local, and Tribal Governments
 
   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 2 0 2 0 0 0
Annual IC Time Burden (Hours) 3 0 3 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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