BABI 24 - Month Questionnaire

Balance After Baby Intervention

OMB: 0920-1115

IC ID: 219654

Information Collection (IC) Details

View Information Collection (IC)

BABI 24 - Month Questionnaire 0920-15BEB
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none End of Study questionnaire - English Attachment 7_BABI_24MQuestionnaire_ENG_V1.0.pdf Yes Yes Fillable Fileable
Form and Instruction none End of Study questionnaire - Spanish Attachment 7s_BABI_24MQuestionnaire_SPAN_V1.0.pdf Yes Yes Fillable Fileable

Health Illness Prevention

 

51 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 51 0 0 0 0 51
Annual IC Time Burden (Hours) 13 0 0 0 0 13
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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