Second Parents

The Healthy Communities Study: How Communities Shape Childrens Health (NHLBI)

OMB: 0925-0649

IC ID: 199546

Documents and Forms
Information Collection (IC) Details

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Second Parents
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 Family Household Visit Protocol Overview FINAL_HCS_SSA_ATTACH 7_2ND PARENT PROTOCOL_Jan 2013 v2.docx No No Paper Only

Health Health Care Services

 

3,564 0
   
Individuals or Households
 
   0 %

  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 3,564 0 0 171 0 3,393
Annual IC Time Burden (Hours) 416 0 0 9 0 407
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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