Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Progress Report Modified 21 336 0 Instruction
Combined MDE for Screening and Assessment MDE and Lifestyle Program MDE Modified 42 1008 0 Form and Instruction 0920-0612 Attachment 3a WISEWOMAN MDE Version 9
Form and Instruction 0920-0612 Attachment 3b Summary of MDE Changes
Lifestyle Intervention Minimum Data Elements (MDEs) Removed 0 0 0 Instruction
Total burden requested under this ICR: 63 1344 0  
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