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Pre-Conception Counseling Community of Practice Retrospective Pre-Post-Assessment Instrument

IC 260185 under ICR 202507-0915-001 · OMB 0915-0391.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Pre-Conception Counseling Community of Practice Retrospective Pre-Post-Assessment Instrument
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Pre-conception Counseling Community of Practice Retrospective Pretest-Post Assessment Form 1_PCC CoP Retrospective Pretest-Post Assessment.docx Yes Yes Fillable Fileable
Form and Instruction 1 (Revised) Pre-conception Counseling Community of Practice Retrospective Pretest-Post Assessment Form 1_PCC CoP Retrospective Pretest-Post Assessment 07102025 RL.docx Yes Yes Fillable Fileable

Health Health Care Services

 

90 90
   
Private Sector Not-for-profit institutions
 
   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 90 0 0 0 0 90
Annual IC Time Burden (Hours) 43 0 0 0 0 43
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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