GLS Campus Case Studies

Garrett Lee Smith Campus Case Studies

Documents and Forms

Document Name Document Type
Form Instruments GLS Campus Case Studies Form and Instruction
Instruments Instruments Instruments.zip Form and Instruction
Other Documents.zip Other Attachments IC Document

Information Collection (IC) Details

IC Title:	GLS Campus Case Studies	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	Instruments	Instruments	Instruments.zip		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,770	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
Annual Number of Responses for this IC	1,770	1,770
Annual IC Time Burden (Hours)	1,017	1,017
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Other Attachments	Other Documents.zip	06/12/2009

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