Information Collection

State and Community Awardee Project Director/Project Coordinator Needs Assessment

IC 203974 under ICR 201209-0920-003 · OMB 0920-0952.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0952 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
State and Community Awardee Project Director/Project Coordinator Needs Assessment	Form and Instruction
State and Com Awardee Proj Dir Pro Coordinator Needs Ass Att 7 State and Com Awardee Proj Dir Pro Coordinator Needs Assmt.Revised.docx	Form and Instruction

IC Title:

State and Community Awardee Project Director/Project Coordinator Needs Assessment

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	N/A	State and Com Awardee Proj Dir Pro Coordinator Needs Assmt	Att 7 State and Com Awardee Proj Dir Pro Coordinator Needs Assmt.Revised.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9	9
Annual IC Time Burden (Hours)	7	7
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.