Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Progress Report Unchanged 35 560 0 Form and Instruction None WISEWOMAN Annual Progress Report
WISEWOMAN Program Minimum Data Elements (MDE) Modified 70 1750 0 Form and Instruction 0920-0612 Specifications for WISEWOMAN Minimum Data Elements (MDE Manual)
Instruction
Total burden requested under this ICR: 105 2310 0  
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