Core VIPP Non-Funded SHD: SOTS Financial Module

Evaluation of Core Violence and Injury Prevention Program

OMB: 0920-0916

IC ID: 200347

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Core VIPP Non-Funded SHD: SOTS Financial Module
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 4 Core VIPP Non-Funded SHD: SOTS Financial Module Attachment E-2 - WORD.docx Yes Yes Fillable Printable

Health Health Care Services

 

22 0
   
State, Local, and Tribal Governments
 
   50 %

  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 22 0 0 0 0 22
Annual IC Time Burden (Hours) 22 0 0 0 0 22
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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