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[NCHHSTP] DASH DEMO: LGBTQ Inclusivity Toolkit Evaluation 2022-2024 0920-0840-23GM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Yes No Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes No Fillable Fileable
Instruction Yes No Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable

Health Illness Prevention

 

451 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 1,353 0 1,353 0 0 0
Annual IC Time Burden (Hours) 313 0 313 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA 07/06/2023
SSB 07/06/2023
Authorizing Legislation 07/06/2023
60 Day FRN 07/06/2023
ICF IRB Approval 07/06/2023
ICF IRB Determination 07/06/2023
PIA 07/06/2023
Respondent Universe 07/06/2023
Project Determination 07/06/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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