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

View Information Collection (IC)

Mapping experiences of young adults and families impacted by adverse childhood experiences (ACEs) 0920-1154-22HQ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Yes Yes Fillable Fileable
Instruction Yes No Fillable Fileable
Form and Instruction 0920-1154 Yes No Fillable Fileable

Health Public Health Monitoring

 

300 0
   
Individuals or Households
 
   80 %

  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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 200 0 200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PIA 07/21/2022
IRB determination 07/21/2022
SSA 07/21/2022
SSB 07/21/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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