Supplemental Funding for Healthy Communities, Tobacco Control, Diabetes Prevention and Control and Behavioral Risk Factor Surveillance

Communities Putting Prevention to Work

OMB: 0920-0820

IC ID: 190673

Information Collection (IC) Details

View Information Collection (IC)

Supplemental Funding for Healthy Communities, Tobacco Control, Diabetes Prevention and Control and Behavioral Risk Factor Surveillance
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 Supplemental Funds Application 0920-XXXX Supplemental Funding Application Attch 3.doc Yes Yes Printable Only

Health Illness Prevention

 

53 0
   
State, Local, and Tribal Governments
 
   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 53 0 -8 0 0 61
Annual IC Time Burden (Hours) 2,120 0 -320 0 0 2,440
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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