State-level Administrators - Interview Guide

Prevention of Child Maltreatment through Policy Change

Documents and Forms

Document Name Document Type
State-level Administrators - Interview Guide Form and Instruction
Interview Guide for State-level Administrators Atmt P Interview Guide of State-Level Administrator-revised.docx Form and Instruction

Information Collection (IC) Details

IC Title:	State-level Administrators - Interview Guide	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
Form and Instruction	none	Interview Guide for State-level Administrators	Atmt P Interview Guide of State-Level Administrator-revised.docx		No	No	Printable Only

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: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.