Information Collection

State-level Administrators - Survey

IC 210900 under ICR 201403-0920-013 · OMB 0920-1025.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
State-level Administrators - Survey	Form
Survey of State-level Administrators Atmt E - Survey of State Administrators.docx	Form
Survey of State Administrators - screenshots Atmt L - State level survey.pdf	Form

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
Form	none	Survey of State-level Administrators	Atmt E - Survey of State Administrators.docx		Yes	Yes	Fillable Fileable
Form	none	Survey of State Administrators - screenshots	Atmt L - State level survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

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: 100 %

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)	1	1
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.