Information Collection

SO WHAT? Telling a Compelling Story...Activity Template

IC 208784 under ICR 201309-0920-009 · OMB 0920-0996.

Documents and Forms

Document Name Document Type
Att C_SoWhat_Telling a Compelling Story Template.pdf Other-Word
Att E_WebTemplateDraft.pdf Att E_WebTemplateDraft IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SO WHAT? Telling a Compelling Story...Activity Template	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Word			Att C_SoWhat_Telling a Compelling Story Template.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 10

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att E_WebTemplateDraft	Att E_WebTemplateDraft.pdf	09/23/2013

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