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Violence Prevention Technical Assistance Center: Needs Assess 0920-1050-20QC
 
New
 
Voluntary
 

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

Health Consumer Health and Safety

 

524 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 524 0 524 0 0 0
Annual IC Time Burden (Hours) 112 0 112 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval 07/13/2020
Att 1_Privacy Applicability 07/13/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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