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

View Information Collection (IC)

Parents are the Key Teen Driving Safety Initiative 14 VV
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Yes Yes Fillable Fileable
Form and Instruction none Yes Yes Fillable Fileable
Form and Instruction none Yes Yes Fillable Fileable
Form and Instruction none Yes Yes Fillable Fileable
Form and Instruction none Yes Yes Fillable Fileable
Form and Instruction none Yes Yes Fillable Fileable

Health Illness Prevention

 

174 0
   
Individuals or Households
 
   100 %

  Requested 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 174 0 0 0 0 174
Annual IC Time Burden (Hours) 119 0 0 0 0 119
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Project Description 07/16/2014
Burden Table 07/16/2014
Pediatrician Screener - word 07/16/2014
Parent Message Testing Moderator's Guide - word 07/16/2014
Parent Message Testing Moderator's Guide - Spanish - word 07/16/2014
Pediatrician Message Testing Moderator's Guide - word 07/16/2014
Parent email 07/16/2014
Parent email - Spanish 07/16/2014
Pediatrician email 07/16/2014
Expedited Review Form 07/16/2014
Parent Screener 07/28/2014
Parent Screener - Spanish 07/28/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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