Racial and Ethnic Approaches to Community Health 2010 Information Network (REACH IN)

Documents and Forms

Document Name Document Type
FINAL REACH IN supporting statement Dec 4.doc Other-Other

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Racial and Ethnic Approaches to Community Health 2010 Information Network (REACH IN)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 6A.241 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other			FINAL REACH IN supporting statement Dec 4.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 42	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	168	84	84
Annual IC Time Burden (Hours)	84	0	84
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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