Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Evidence-Based Falls Prevention Program (Local Respondents) Modified 912 894 0 Form and Instruction NA Cover Sheet
Form and Instruction NA Participant Information Form
Form and Instruction NA Post Session Survey
Form and Instruction NA Attendance Log
Form and Instruction NA Host Information Form
Evidence-Based Falls Prevention Program (Project Staff) Modified 40 320 0 Form and Instruction NA Falls Semi-Annual Progress Report
Participant Information Forms Modified 16728 1674 0 Form and Instruction NA Participant Form
Form and Instruction NA Post Session Survey
Total burden requested under this ICR: 17680 2888 0  
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