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Instrument 3: Plan, Do, Study, Act (PDSA) Form & Tracker

IC 257324 under ICR 202505-0970-013 · OMB 0970-0605.

Documents and Forms
Document Name
Document Type
Other-Form & Tracker
Other-Form & Tracker
Information Collection (IC) Details

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Instrument 3: Plan, Do, Study, Act (PDSA) Form & Tracker
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Form & Tracker Instrument 3_Plan, Do, Study, Act (PDSA) Form & Tracker.Clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

168 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   75 %

  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 1,904 0 0 0 0 1,904
Annual IC Time Burden (Hours) 476 0 0 0 0 476
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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