Form Approved
OMB No. 0920-XXXX
Exp. Date:
	Public
	Reporting burden of this collection
	of information is estimated at 60 minutes per response, including
	the time for reviewing instructions, searching existing data
	sources, gathering and maintaining the data needed, and completing
	and reviewing the collection of information.  An agency may not
	conduct or sponsor, and a person is not required to respond to a
	collection of information unless it displays a currently valid OMB
	control number.  Send comments regarding this burden estimate or any
	other aspect of this collection of information, including
	suggestions for reducing this burden to CDC/ATSDR Reports Clearance
	Officer, 1600 Clifton Road NW, MS D-24, Atlanta, GA  30333; Attn: 
	PRA (0920-XXXX). 
	
Screenshots (of Attachment K)
Division of Violence Prevention
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Akil, Jahlani (CDC/ONDIEH/NCIPC) | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-24 |