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Federal forms, ICRs, and supporting documents

Information Collection

Assessing Satisfaction with Technical Assistance (TA) Provided to Racial and Ethnic Approaches to Community Health (REACH) Awardees

IC 226107 under ICR 201408-0920-009 · OMB 0920-0800.

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

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Assessing Satisfaction with Technical Assistance (TA) Provided to Racial and Ethnic Approaches to Community Health (REACH) Awardees 17TG
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD 4. Group Discussion Questions_ 030917.docx No   Paper Only
Other-WORD 5. Facilitators Guide_030917.docx No   Paper Only

Health Illness Prevention

 

60 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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 60 0 60 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Invitation Email 1. Invitation email_020917.doc 03/17/2017
Reminder Email 2. Reminder email_020917.doc 03/17/2017
Consent Form 3. Consent form_020917.docx 03/17/2017
Thank You Email 6. Thank you email_020917.doc 03/17/2017
Request for Approval GenIC_DCH Training and TA_03.16.2017.docx 03/17/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.