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

View Information Collection (IC)

[NCIPC] Violence Prevention Technical Assistance Center Participant Feedback Forms 0920-1050-23GX
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1050 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1050 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1050 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1050 NA Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

725 0
   
Individuals or Households
 
   100 %

  Requested 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 725 0 0 0 0 725
Annual IC Time Burden (Hours) 131 0 0 0 0 131
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request Template - 0920-1050 08/07/2023
Privacy Act Determination - signed 08/07/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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