Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Progress Report Unchanged 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
Form and Instruction 0920-0612 WISEWOMAN Program MDE Manual_ Version 9.0_July 2013 (revised)
Total burden requested under this ICR: 63 1344 0  
To view an IC, click on IC Title