NOFAS Webinar Survey

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

Documents and Forms

Document Name Document Type
NOFAS Webinar Survey Form
NOFAS Webinar Survey U1 NOFAS Webinar Survey.pdf Form
NOFAS Webinar Survey U1 NOFAS Webinar Survey.pdf Form
K1 NOFAS Webinar Survey .docx NOFAS Webinar Survey - word IC Document
K1 NOFAS Webinar Survey .docx NOFAS Webinar Survey - word IC Document

Information Collection (IC) Details

IC Title:	NOFAS Webinar Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	none	NOFAS Webinar Survey	U1 NOFAS Webinar Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 601	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-601	601
Annual IC Time Burden (Hours)	-20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NOFAS Webinar Survey - word	K1 NOFAS Webinar Survey .docx	03/02/2016

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