Health Equity Capacity Assessment

[NCIPC] DELTA Achieving Health Equity through Addressing Disparities (AHEAD) COOPERATIVE AGREEMENT EVALUATION

OMB: 0920-1412

IC ID: 260627

Information Collection (IC) Details

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Health Equity Capacity Assessment 0920-23AA
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-23AA Att. 6a Health Equity Capacity Assessment Updated Att. 6a Health Equity Capacity Assessment Updated.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

10 0
   
State, Local, and Tribal Governments
 
   0 %

  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 10 0 10 0 0 0
Annual IC Time Burden (Hours) 5 0 5 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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