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Evaluation of the Domestic Violence Prevention Module at the UCLA School of Medicine

IC 111114 under ICR 199508-0920-002 · OMB 0920-0377.

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Evaluation of the Domestic Violence Prevention Module at the UCLA School of Medicine
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability


    

276 0
   
Individuals or Households
 
   0 %

  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 1,380 0 1,380 0 0 0
Annual IC Time Burden (Hours) 412 0 412 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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