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Essentials Instrument and Protocol Evaluation and Surveillance Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920 Yes Yes Fillable Fileable
Form and Instruction 0920-1425 N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

 

12 0
   
State, Local, and Tribal Governments
 
   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 12 0 0 0 0 12
Annual IC Time Burden (Hours) 12 0 0 0 0 12
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Essentials for Childhood: Preventing ACEs Evaluation and Surveillance Survey 10/25/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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