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

View Information Collection (IC)

[NCIPC] Adverse Childhood Experiences Prevention Message Development 0920-1154-24IP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 N/A Yes Yes Fillable Fileable
Other-Screenshots No   Printable Only
Form and Instruction 0920-1154 N/A Yes Yes Fillable Fileable
Form and Instruction 0920-1154 (24IP) Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Form and Instruction 0920-1154 (24IP) Yes Yes Fillable Fileable
Form and Instruction 0920-1154 (24IP) Yes Yes Fillable Fileable

Health Health Care Services

 

200 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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 86 0 0 0 0 86
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA (24IP) 12/11/2024
SSB (24IP) 09/17/2024
ACEs Messages for Testing (24IP) 09/17/2024
Project Determination (24IP) 09/17/2024
Revised Supporting Statement B 25MAR2025 03/25/2025
Change Request Memo 25MAR2025 03/25/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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