Information Collection

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

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att C_SoWhat_Telling a Compelling Story Template.pdf	Other-Word
Att E_WebTemplateDraft.pdf Att E_WebTemplateDraft	IC Document

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.