Maternal and Child Health Epidemiology Training Course One-Year Follow-up Survey

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

OMB: 0915-0212

IC ID: 232590

Information Collection (IC) Details

View Information Collection (IC)

Maternal and Child Health Epidemiology Training Course One-Year Follow-up Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 One-Year Trainee Survey form.docx One-Year Trainee Survey form.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

40 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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 10 0 10 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Supporting Statement - one-year trainee survey.docx 08/08/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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