Ex Assessment TBC Recipient Interview Guide NCHP_ICHP (Attachment 4f)

[NCCHPHP] Comprehensive Evaluations of the WISEWOMAN Programs, The National Cardiovascular Health Program, The Innovative Cardiovascular Health Program

OMB: 0920-1453

IC ID: 271845

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Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
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Ex Assessment TBC Recipient Interview Guide NCHP_ICHP (Attachment 4f)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1453 Att 4f. Ex Assessment_TBC_Recipient_Interview Guide_NCHP_ICHP_rev 2025 Att 4f. Ex Assessment_TBC_Recipient_Interview Guide_NCHP_ICHP_clean.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

 

3 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 3 0 0 0 0 3
Annual IC Time Burden (Hours) 5 0 0 0 0 5
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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