Policy and Decision Makers Interview, State and Local Government Sector

Case Studies of Selected Communities and States Funded under Community Activities under the Communities Putting Prevention to Work (CPPW) Initiative

Documents and Forms

Document Name Document Type
Policy and Decision Makers Interview, State and Local Government Sector Form
Att 10 - Interview Guide for Policy Makers Attachment 10 Interveiw Guide for Policy and Decision Makers.doc Form

Information Collection (IC) Details

IC Title:	Policy and Decision Makers Interview, State and Local Government Sector	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	none	Att 10 - Interview Guide for Policy Makers	Attachment 10 Interveiw Guide for Policy and Decision Makers.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

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: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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