FASD Core Training Survey Pre-test

Improving Fetal Alcohol Spectrum Disorders Prevention and Practice through Practice and Implementation Centers and National Partnerships

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1129 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1129 FASD Core Training Survey Pre-test Form and Instruction
NOFAS Pre-Test Survey (FASD Prevention Identification & Alcohol Screening Pre)_obgyn non-sub changes_REVIEWED.docx Other-WORD
0920-1129 FASD Prevention, Identification & Alcohol Screening Pre- NOFAS Post-Test Survey (FASD Prevention Identification & Alcohol Post)_S....pdf Form and Instruction

Information Collection (IC) Details

IC Title:	FASD Core Training Survey Pre-test	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1129	FASD Prevention, Identification & Alcohol Screening Pre-Training Evaluation	NOFAS Post-Test Survey (FASD Prevention Identification & Alcohol Post)_S....pdf		Yes	Yes	Fillable Fileable
Other-WORD			NOFAS Pre-Test Survey (FASD Prevention Identification & Alcohol Screening Pre)_obgyn non-sub changes_REVIEWED.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,013	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,013	4,013
Annual IC Time Burden (Hours)	602	602
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.