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Federal forms, ICRs, and supporting documents

Information Collection

Assessing Satisfaction with Training and Technical Assistance Provided to PICH and REACH Awardees

IC 221317 under ICR 201411-0920-012 · OMB 0920-1050.

Documents and Forms
Document Name
Document Type
Other-Telephone Survey
Form
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Assessing Satisfaction with Training and Technical Assistance Provided to PICH and REACH Awardees 16AHZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Telephone Survey 4. Telephone Interview Protocol_042916.docx Yes Yes Fillable Fileable
Form none Training and Technical Assistance Survey Attachement E_Training and Technical Assistance Survey_FINAL for OMB 5-2-2016 ver 2.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

120 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   95 %

  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 120 0 120 0 0 0
Annual IC Time Burden (Hours) 40 0 40 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval GenIC_DCH Training and TA_050216.docx 05/02/2016
Invitation email 1. Invitation email_031616.doc 05/02/2016
Reminder email 2. Reminder email_031616.doc 05/02/2016
Thank you email 5. Thank you email_031616.doc 05/02/2016
Initial Screenshots 3. SurveyScreenshots_050216_new3Line.docx 05/02/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.