Information Collection

Project Director Survey

IC 194420 under ICR 201008-0930-007 · OMB 0930-0318.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Project Director S Project Director Survey	Form and Instruction
Project Director S Project Director Survey Attachment A.docx	Form and Instruction
Project Director S Project Director Survey Attachment_A_Final.docx	Form and Instruction
Attachment C.docx Roster	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	Project Director Survey	Project Director Survey	Attachment A.docx		Yes	Yes	Paper Only
Form and Instruction	Project Director Survey	Project Director Survey	Attachment_A_Final.docx		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 48

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	48	48
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Roster	Attachment C.docx	08/17/2010

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