Information Collection

AIDS Education and Training Centers Program: National Program and Service Record Data Reporting Form

IC 6385 under ICR 199703-0915-004 · OMB 0915-0154.

Documents and Forms

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Document Name	Document Type

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IC Title:

AIDS Education and Training Centers Program: National Program and Service Record Data Reporting Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	84	0	16	68
Annual IC Time Burden (Hours)	2,520	0	470	2,050
Annual IC Cost Burden (Dollars)	38,000	38,000	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.