OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Otp

IC 195867 under ICR 201101-0930-001 · OMB 0930-0319.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2011 OTP Questionn OTP	Form and Instruction
2011 OTP Questionn 2011 OTP Questionnaire Attach A OTP Survey.pdf	Form and Instruction
Attachment F OTP ONLINE INSTRUCTIONS.docx Attachment F OTP ONLINE INSTRUCTIONS	IC Document
Attachment G OTP FAQS.docx Attachment G OTP FAQS	IC Document
Attachment H OTP Reminder Postcard.docx Attachment H OTP Reminder Postcard	IC Document
Attachment I OTP RemindLtr.docx Attachment I OTP RemindLetter	IC Document
Attachment J Thank You Letter.docx Attachment J Thank You Letter	IC Document
Attach A Rev_OTP Survey clean.docx Attach A Rev_OTP Survey clean	IC Document
Attach B 2011 OTP Alert Letter.doc Attach B 2011 OTP Alert Letter	IC Document
Attach C 2011 OTP CoverLtr.doc Attach C 2011 OTP CoverLtr	IC Document
Attach D 2011 OTP-SOTA letter.docx Attach D 2011 OTP-SOTA letter	IC Document
Attach E 2011 OTP AATOD Endorsement.docx Attach E 2011 OTP AATOD Endorsement	IC Document
Attach K OTP Table Shells - OTP shells AG.doc Attach K OTP Table Shells - OTP shells AG	IC Document
Attach K OTP Table Shells - OTP shells AG.doc Attach K OTP Table Shells - OTP shells AG	IC Document
Attach L cover page screen shots.doc Attach L cover page screen shots	IC Document
Attach L__devnssats2011.mathematica.net_ALL.PDF Attach L__devnssats2011.mathematica.net_ALL	IC Document
Attach M 2011 OTP Pretest Report-Combined Final.docx Attach M 2011 OTP Pretest Report-Combined Final	IC Document
Attach M cover page pretest report.doc Attach M cover page pretest report	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

OTP

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	2011 OTP Questionnaire	2011 OTP Questionnaire	Attach A OTP Survey.pdf		Yes	Yes	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

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 New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1,200	0	1,200	0	0	0
Annual IC Time Burden (Hours)	996	0	996	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment F OTP ONLINE INSTRUCTIONS	Attachment F OTP ONLINE INSTRUCTIONS.docx	12/23/2010
Attachment G OTP FAQS	Attachment G OTP FAQS.docx	12/23/2010
Attachment H OTP Reminder Postcard	Attachment H OTP Reminder Postcard.docx	12/23/2010
Attachment I OTP RemindLetter	Attachment I OTP RemindLtr.docx	12/23/2010
Attachment J Thank You Letter	Attachment J Thank You Letter.docx	12/23/2010
Attach A Rev_OTP Survey clean	Attach A Rev_OTP Survey clean.docx	02/28/2011
Attach B 2011 OTP Alert Letter	Attach B 2011 OTP Alert Letter.doc	02/28/2011
Attach C 2011 OTP CoverLtr	Attach C 2011 OTP CoverLtr.doc	02/28/2011
Attach D 2011 OTP-SOTA letter	Attach D 2011 OTP-SOTA letter.docx	02/28/2011
Attach E 2011 OTP AATOD Endorsement	Attach E 2011 OTP AATOD Endorsement.docx	02/28/2011
Attach K OTP Table Shells - OTP shells AG	Attach K OTP Table Shells - OTP shells AG.doc	02/28/2011
Attach K OTP Table Shells - OTP shells AG	Attach K OTP Table Shells - OTP shells AG.doc	02/28/2011
Attach L cover page screen shots	Attach L cover page screen shots.doc	02/28/2011
Attach L__devnssats2011.mathematica.net_ALL	Attach L__devnssats2011.mathematica.net_ALL.PDF	02/28/2011
Attach M 2011 OTP Pretest Report-Combined Final	Attach M 2011 OTP Pretest Report-Combined Final.docx	02/28/2011
Attach M cover page pretest report	Attach M cover page pretest report.doc	02/28/2011

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