Essentials Instrument and Protocol Evaluation and Surveillance Survey

[NCIPC] Reporting of the Essentials for Childhood (EfC): Preventing Adverse Childhood Experiences through Data to Action Program

OMB: 0920-1425

IC ID: 262777

Information Collection (IC) Details

View Information Collection (IC)

Essentials Instrument and Protocol Evaluation and Surveillance Survey 0920-23DT
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920 Essentials Instrument and Protocol Evaluation and Surveillance Survey Att. 6 Evaluation and Surveillance Survey.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

12 0
   
State, Local, and Tribal Governments
 
   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 12 0 12 0 0 0
Annual IC Time Burden (Hours) 12 0 12 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Essentials for Childhood: Preventing ACEs Evaluation and Surveillance Survey Att. 6a Evaluation and Surveillance Survey Screenshot.pdf 10/25/2023
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