Information Collection

Site Project Director (quarterly report)

IC 196137 under ICR 201102-0990-002 · OMB 0990-0371.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0371 can be found here:

Documents and Forms

Document Name Document Type
0990-PCBHI Attach 8 Quarterly report.doc Other-REPORT

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Site Project Director (quarterly report)	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-REPORT			0990-PCBHI Attach 8 Quarterly report.doc		Yes	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	480	480
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.