Information Collection

Survey of Co-Sponsors

IC 191478 under ICR 200912-0920-001 · OMB 0920-0839.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Survey of Co-Sponsors	Form and Instruction
1 Survey of Co-Sponsors Attachment E Co-Sponsor Survey.doc	Form and Instruction
Attachment E1 Cosponsor Invitation.doc Attachment E1 Cosponsor Invitation	IC Document
Attachment E2 Cosponsor Reminder.doc Attachment E2 Cosponsor Reminder	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	1	Survey of Co-Sponsors	Attachment E Co-Sponsor Survey.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4

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
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment E1 Cosponsor Invitation	Attachment E1 Cosponsor Invitation.doc	11/12/2009
Attachment E2 Cosponsor Reminder	Attachment E2 Cosponsor Reminder.doc	11/12/2009

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