Information Collection

State/Local/Tribal Government Sector CTG Awardees - Semiannual Reporting

IC 203265 under ICR 201207-0920-004 · OMB 0920-0946.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0946 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 4. CTG MIS Data Elements.pdf	Instruction

IC Title:

State/Local/Tribal Government Sector CTG Awardees - Semiannual Reporting

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
Instruction			Attachment 4. CTG MIS Data Elements.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	108	108
Annual IC Time Burden (Hours)	324	324
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.