Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Progress Report Modified 40 640 0 Form and Instruction None WISEWOMAN Annual Progress Report
WISEWOMAN Program Minimum Data Elements (MDE) Modified 80 2000 0 Form and Instruction 0920-0612 WISEWOMAN Program MDE Manual Edition 18.3R
Instruction
Total burden requested under this ICR: 120 2640 0  
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