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[OADC] DSMES Playbook Survey at ADCES Exhibit Hall 0920-0572-24HZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD version No   Printable Only
Form 0920-0572 Yes Yes Fillable Fileable

Health Illness Prevention

 

200 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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 7 0 7 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
(HMTS)_Expedited Review Form "DSMES Playbook Survey at ADCES Exhibit Hall' 08/07/2024
Supplement to the HMTS Expedited Review Form 08/07/2024
IRB Determination 08/07/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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