Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Evidence-Based Falls Prevention Program (Local Respondents) Modified 960 960 0 Form and Instruction NA Cover Sheet
Form and Instruction NA Attendance Log
Evidence-Based Falls Prevention Program (Project Staff) Modified 48 469 0 Form and Instruction NA Information Cover Sheet
Form and Instruction NA Attendance Log
Form and Instruction NA Participant Information Form
Form and Instruction NA Post Session Survey
Participant Information Forms Modified 19624 1961 0 Form and Instruction NA Participant Information Form
Form and Instruction NA Participant Post Session Survey
Total burden requested under this ICR: 20632 3390 0  
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