Information Collection

Cost Allocation Tool

IC 185397 under ICR 200806-0920-005 · OMB 0920-0812.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form No number Cost Allocation Tool	Form and Instruction
No number CAT Instrument Att 3a_CAT Instrument.doc	Form and Instruction
Att 3b_CAT User Manual.doc CAT Instrument User Manual	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Form and Instruction	No number	CAT Instrument	Att 3a_CAT Instrument.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 46

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	46	46
Annual IC Time Burden (Hours)	1,012	1,012
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CAT Instrument User Manual	Att 3b_CAT User Manual.doc	06/05/2008

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