View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Assessing Effectiveness Brochure: LHD/NHHE Progam Working Together AND STD Prevention Services
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Printable Only

Health Health Care Services

 

877 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 877 0 0 0 0 0
Annual IC Time Burden (Hours) 209 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att D - First Reminder E-Mail 08/27/2013
Att A - NOA_0920-0260 11-2011 08/27/2013
Att B - Example HHE report 08/27/2013
Att C - National Academies brief report 08/27/2013
Att D - Implementation Plan 08/27/2013
Att E - HHE Strategic Plan FY2012 (2) (3) 08/27/2013
Att F - Brochure 08/27/2013
Att I - Invitation email 08/27/2013
Att J - Email reminder - day 7 08/27/2013
Att K - Email reminder- day 12 08/27/2013
HHE SupSta-A 08/27/2013
HHE SupSta-B 08/27/2013
Att C - Invitation E-Mail 08/27/2013
Att E - Second-Final Reminder E-Mail 08/27/2013
SupSta A - STD Prev Serv 08/27/2013
SupSta B - STD Prev Serv 08/27/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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