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

View Information Collection (IC)

Alabama Safe Sleep Outreach Project
 
New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 No   Paper Only
Form 2 No   Paper Only
Form 3 No   Paper Only
Form 4 No   Paper Only
Form 5 No   Paper Only

Health Public Health Monitoring

Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service,  67 FR 70642

2,630 0
   
Individuals or Households
 
   0 %

  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 2,630 0 2,630 0 0 0
Annual IC Time Burden (Hours) 319 0 319 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Mini SSA Alabama Safe Sleep Outreach 11/01/2016
Mini SSB Alabama Safe Sleep Outreach 11/01/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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