Core VIPP Funded SHD: Telephone Interview

Evaluation of Core Violence and Injury Prevention Program

OMB: 0920-0916

IC ID: 200345

Documents and Forms
Document Name
Document Type
Other-Telephone interview questions
Information Collection (IC) Details

View Information Collection (IC)

Core VIPP Funded SHD: Telephone Interview
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Telephone interview questions for Core VIPP Evaluation Attachment D_Telephone interviews.docx Yes No Fillable Fileable

Health Health Care Services

 

28 0
   
State, Local, and Tribal Governments
 
   50 %

  Requested 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 28 0 0 0 0 28
Annual IC Time Burden (Hours) 42 0 0 0 0 42
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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