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Federal forms, ICRs, and supporting documents

Information Collection

FASD Prevention, Identification, & Alcohol Screening Pre-Training Evaluation (previously NOFAS Pre-Test Survey)

IC 220429 under ICR 201707-0920-006 · OMB 0920-1129.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

FASD Prevention, Identification, & Alcohol Screening Pre-Training Evaluation (previously NOFAS Pre-Test Survey) 0920-1129 (17AUR)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1129 FASD Prevention, Identification, & Alcohol Screening Pre-Training Evaluation NOFAS Pre-Test Survey (FASD Prevention Identification & Alcohol Screenin....pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

551 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 551 0 0 0 0 551
Annual IC Time Burden (Hours) 28 0 0 0 0 28
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
FASAD Prevention, Identification, & Alcohol Screening Pre-Training Evaluation NOFAS Pre-Test Survey (FASD Prevention Identification & Alcohol Screening Pre)_obgyn non-sub changes_REVIEWED.docx 07/20/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.