Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Prevention and Public Health Funds Evidence-Based Falls Prevention Program (Local Respondents) New 834 820 0 Form and Instruction 1
Form 2
Form 3
Form 4
Form 6
Prevention and Public Health Funds Evidence-Based Falls Prevention Program (Staff Respondents) New 28 224 0 Form and Instruction 5
Prevention and Public Health Funds Evidenced-Based Falls Prevention Program (Individuals) New 10000 2000 0 Form and Instruction 2
Form 3
Total burden requested under this ICR: 10862 3044 0  
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