Information Collection

Regional Extenion Center

IC 195150 under ICR 201403-0955-001 · OMB 0955-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0955-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990- REC Operation Plan Template RECs.xls	Other-crm tools
0990-REC CRM Tool Screenshots.doc 0990-REC CRM Tool Screenshots	IC Document

IC Title:

Regional Extenion Center

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
Other-crm tools			0990- REC Operation Plan Template RECs.xls		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	720	720
Annual IC Time Burden (Hours)	1,080	1,080
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0990-REC CRM Tool Screenshots	0990-REC CRM Tool Screenshots.doc	10/21/2010

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