Information Collection

Technical Assistance and Service Improvement Initiative (TASII)

IC 203097 under ICR 201110-0920-004 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Technical Assistance and Service Improvement Initiative (TASII)	Form
Survey Web Screenshots Attachment H. TASII External Stakeholder Survey Instrument - Web Screen Shots.docx	Form
Survey Notification Email Attachment K. Survey Notification Email.docx	Form
Survey Reminder Emails Attachment L. TASII Survey Reminders (Email only).docx	Form
TASII Supporting Statement A.docx Supporting Statement Part A	IC Document
TASII Supporting Statement B.docx Supporting Statement Part B	IC Document
Attachment I. TASII Key Evaluation Questions.pdf Evlauation Questions	IC Document
Attachment G. TASII External Stakeholder Survey Instrument - Word Version.docx Survey - Word version	IC Document
Attachment B. 2008 ASTHO Letter to CDC Director.pdf ASTHO Letter to CDC Director	IC Document
Attachment C. Partner Service Workgroup Summary.pdf Partner Services Workgroup Summary	IC Document
Attachment D. STLT Workgroup of the Advisory Committee to the Director (ACD) of CDC.pdf Advisory Committee to CDC Director	IC Document
Attachment E. OSTLTS Transformation Project Report.pdf Transformation Project Report	IC Document
Attachment F. TASII Focus Group Report.pdf Focus Group Report	IC Document
Attachment J. Number of Grantees by CIO.docx Number of Grantees by CIO	IC Document
Attachment A. Sources for Recommendations to Implement External Stakeholder Survey.pdf Sources for Recommendations	IC Document

IC Title:

Technical Assistance and Service Improvement Initiative (TASII)

Agency IC Tracking Number:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Survey Web Screenshots	Attachment H. TASII External Stakeholder Survey Instrument - Web Screen Shots.docx	Yes	Yes	Fillable Fileable
Form	none	Survey Notification Email	Attachment K. Survey Notification Email.docx	Yes	No	Fillable Fileable
Form	none	Survey Reminder Emails	Attachment L. TASII Survey Reminders (Email only).docx	Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,541

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	2,541	0	0	0	0	0
Annual IC Time Burden (Hours)	1,482	0	0	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
Supporting Statement Part A	TASII Supporting Statement A.docx	07/09/2012
Supporting Statement Part B	TASII Supporting Statement B.docx	07/09/2012
Evlauation Questions	Attachment I. TASII Key Evaluation Questions.pdf	07/09/2012
Survey - Word version	Attachment G. TASII External Stakeholder Survey Instrument - Word Version.docx	07/09/2012
ASTHO Letter to CDC Director	Attachment B. 2008 ASTHO Letter to CDC Director.pdf	07/09/2012
Partner Services Workgroup Summary	Attachment C. Partner Service Workgroup Summary.pdf	07/09/2012
Advisory Committee to CDC Director	Attachment D. STLT Workgroup of the Advisory Committee to the Director (ACD) of CDC.pdf	07/09/2012
Transformation Project Report	Attachment E. OSTLTS Transformation Project Report.pdf	07/09/2012
Focus Group Report	Attachment F. TASII Focus Group Report.pdf	07/09/2012
Number of Grantees by CIO	Attachment J. Number of Grantees by CIO.docx	07/09/2012
Sources for Recommendations	Attachment A. Sources for Recommendations to Implement External Stakeholder Survey.pdf	07/09/2012

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