Measures of Co-Occurring Infractructure

Measures of Co-Occurring Infrastructure

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0284 can be found here:

Documents and Forms

Document Name Document Type
Form Instrument Measures of Co-Occurring Infractructure Form and Instruction
Instrument Instrument co-oc measures 080706.doc Form and Instruction
Deal.PDF Comment - Deal IC Document
Primrose.PDF Comment - Primrose IC Document
shelton.PDF Comment - Shelton IC Document
ZIALOGIC.PDF Comment - zialogic IC Document

Information Collection (IC) Details

IC Title:	Measures of Co-Occurring Infractructure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Instrument	Instrument	co-oc measures 080706.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 242	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	242	0	242
Annual IC Time Burden (Hours)	1,101	1,101	0
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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