Information Collection

SPF-SIG - Grantee

IC 43645 under ICR 201311-0930-001 · OMB 0930-0279.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form GLI Implementation SPF-SIG - Grantee	Form and Instruction
GLI Implementation GLI Implementation A1a - GLI Implementation 7-22-13.doc	Form and Instruction
GLI Infrastructure GLI Infrastructure A1b - GLI Infrastructure 7-20-13.doc	Form and Instruction

IC Title:

SPF-SIG - Grantee

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	GLI Implementation	GLI Implementation	A1a - GLI Implementation 7-22-13.doc		Yes	Yes	Fillable Printable
Form and Instruction	GLI Infrastructure	GLI Infrastructure	A1b - GLI Infrastructure 7-20-13.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 34

Number of Respondents for Small Entity: 0

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	170	170
Annual IC Time Burden (Hours)	167	167
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.