TRC Performance Indicator Data Collection Tool

Telehealth Resource Center Grant Program Performance

OMB: 0915-0361

IC ID: 205420

Information Collection (IC) Details

View Information Collection (IC)

TRC Performance Indicator Data Collection Tool
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 TRC Performance Indicatator Data Collection Tool TRC Performance Indicatator Data Collection Tool.docx Yes Yes Fillable Fileable

Health Health Care Services

 

10 0
   
Private Sector Not-for-profit institutions
 
   100 %

  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 760 0 760 0 0 0
Annual IC Time Burden (Hours) 53 0 53 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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