OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Assessment Branch (AB) Partner Data Assessment Project

IC 212676 under ICR 201407-0920-001 · OMB 0920-1026.

Documents and Forms
Document Name
Document Type
Other-WORD
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Assessment Branch (AB) Partner Data Assessment Project 14AUM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attachment A - Key Informant Interview Guide.docx No   Fillable Printable

Health Public Health Monitoring

 

54 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 54 0 54 0 0 0
Annual IC Time Burden (Hours) 45 0 45 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att B - Interview Scheduling Email Attachment B - Interview Scheduling Email.docx 08/14/2014
Att C _ Interview Confirmation Email Attachment C - Interview Confirmation Email.docx 08/14/2014
Request for Approval - Customer Feedback Fast_Track_GenIC_Request Partner Data Assessment Project_final.docx 08/14/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.