Information Collection

State/Local/Tribal Government Sector CTG Awardees - Initial Population of the CTG MIS

IC 204684 under ICR 201211-0920-002 · OMB 0920-0946.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 4. CTG MIS Data Elements.pdf	Instruction
Attachment 3. Initial 68 CTG Awardees.docx	Other-Attachment 3 CTG Awardees Fall
Attachment 3-Supplement. New CTG Awardees.docx	Other-Attachment 3 Supplement CTG FY

IC Title:

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	Attachment 4. CTG MIS Data Elements.pdf	Yes	Yes	Fillable Fileable
Other-Attachment 3 CTG Awardees Fall 2011	Attachment 3. Initial 68 CTG Awardees.docx	Yes	Yes	Printable Only
Other-Attachment 3 Supplement CTG FY 2012 Supplement	Attachment 3-Supplement. New CTG Awardees.docx	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	60	60
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.