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

View Information Collection (IC)

[2022] VetoViolence Training and Resource Development - Health Equity 0920-22EQ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Interview Recruitment Materials Att 2 HE Interview_Recruitment Materials_04252022.docx Yes Yes Fillable Printable
Form and Instruction None Interview Consent and Interview Guide Att 3 HE Interview_Consent Form and Interview Guide_04252022.docx Yes Yes Fillable Printable
Form and Instruction None Survey Recruitment Materials Att 4 HE Survey_Recruitment Materials_04252022.docx Yes Yes Fillable Printable
Form and Instruction None Survey Consent and Questionnaire Att 5 HE Survey_ Consent Form and Survey_04252022.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

1,110 0
   
Individuals or Households
 
   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 1,110 0 1,110 0 0 0
Annual IC Time Burden (Hours) 77 0 77 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GENIC Template with Project Description (VetoViolence training) Veto HE OMB Generic Package_04252022.docx 04/25/2022
CDC Determination: The Privacy Act does not apply Att 1_Veto Violence HE PIA.pdf 04/25/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.