Coalition Member Survey

Evaluation of the National Youth Violence Prevention Resource Center (NYVPRC)

OMB: 0920-0823

IC ID: 188799

Information Collection (IC) Details

View Information Collection (IC)

Coalition Member Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form No number Coalition Member Survey ICR_NYVPRC_Attachment-G-Coalition-Member-Survey.doc Yes Yes Printable Only

Health Illness Prevention

 

120 0
   
Individuals or Households
 
   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 240 0 240 0 0 0
Annual IC Time Burden (Hours) 120 0 120 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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