Interviews

Assessment of Women’s Behavioral Health in Eastern Montana and Western North Dakota

OMB: 0990-0462

IC ID: 227988

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

View Information Collection (IC)

Interviews
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-guide interview OWH_Draft KII Guide_081517.docx No   Paper Only

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) 40 0 40 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
interview OWH_OMB KII Intro Letter_081517.docx 08/22/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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