Information Collection

VTrckS Awardee Survey/Partner Data Assessment Project

IC 212674 under ICR 201407-0920-001 · OMB 0920-1026.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2014VTrckSAwardeeSurvey final.pdf	Other-PDF
VTrckS Contact Center Customer Satisfaction Survey_final.pdf	Other-PDF
TrainingSurvey final.pdf	Other-PDF
Service Delivery_GenIC_VTrckSAwardeeSurvey.docx Request for Approval ~VTrckS Awardee Survy	IC Document
VTrckSContactCenterSurvey_Service Delivery GenIC.docx Request for Approval ~ VTrckS Contact Center Survey	IC Document
VTrckSTraining_Service Delivery_GenIC.docx Request for Approval ~ VTrckS Training Survey	IC Document

IC Title:

Agency IC Tracking Number:

14AUN/14AVI/14AVL

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-PDF	Yes	Yes	Fillable Printable
Other-PDF	Yes	Yes	Fillable Printable
Other-PDF	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 186

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	186	186
Annual IC Time Burden (Hours)	321	321
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval ~VTrckS Awardee Survy		08/14/2014
Request for Approval ~ VTrckS Contact Center Survey		08/14/2014
Request for Approval ~ VTrckS Training Survey		08/14/2014

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

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