CPPW Awardee

Study of the Costs Associated with Community Activities under the Communities Putting Prevention to Work CPPW) Initiative

Documents and Forms

Document Name Document Type
0990-Attachment3a_CSIfinal.doc Other-questions
0990-Attachment3b_CSIUsersManual_final.doc Other-Manual

Information Collection (IC) Details

IC Title:	CPPW Awardee	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
Other-questions			0990-Attachment3a_CSIfinal.doc		No	No	Paper Only
Other-Manual			0990-Attachment3b_CSIUsersManual_final.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	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	204	204
Annual IC Time Burden (Hours)	2,244	2,244
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.