Program Eligibility Protocol

Assessing Strategies To Promote Children’s Engagement and Active Participation in Virtual Visits

OMB: 0906-0092

IC ID: 267283

Information Collection (IC) Details

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Program Eligibility Protocol
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Program Eligibility Protocol Appendix E_Active Engagement_Instrument1.docx Yes Yes Fillable Fileable
Form and Instruction 1 Program Eligibility Protocol (Track Changes 07302024) 0906-0092 1_Program Eligiblity Protocol.docx Yes Yes Fillable Fileable

Health Health Care Services

 

16 16
   
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 16 0 0 0 0 16
Annual IC Time Burden (Hours) 16 0 0 0 0 16
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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