Information Collection

ISD All-Awardee Conference Call Survey

IC 218152 under ICR 201407-0920-001 · OMB 0920-1026.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
All-Awardee Conference Call Survey ISD All-Awardee Conference Call Survey	Form
All-Awardee Conference Call Survey Attachment A_Immunization Services Division All Awardee Call Evaluation_Screenshots.pdf	Form
GenIC 0920-1026_Immunization Services Division All Awardee Call Evaluation.docx Request for Approval	IC Document
Attachment B_Immunization Services Division All-Awardee Call Evaluation_ Participation Email.docx Invitation Email	IC Document
Attachment C_ Immunization Services Division All-Awardee Call Evaluation_Reminder Email.docx Reminder Email	IC Document

IC Title:

Agency IC Tracking Number:

15BFC

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				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 232

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	232	232
Annual IC Time Burden (Hours)	19	19
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

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