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View Information Collection (IC)

Community Health Worker Certification: Effective Strategies and Potential Challenges 0920-17QW CHW-CASE
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A No   Paper Only

Health Consumer Health and Safety

 

49 0
   
State, Local, and Tribal Governments
 
   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 49 0 49 0 0 0
Annual IC Time Burden (Hours) 74 0 74 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A 02/22/2017
Supporting Statement Part B 02/22/2017
Recruitment Email 02/22/2017
Email Reminder 02/22/2017
Telephone Reminder 02/22/2017
Confirmation Email 02/22/2017
Follow-up Email 02/22/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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