Information Collection

ODP Pathways to Prevention Survey II

IC 229113 under ICR 201501-0925-004 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 ODP Pathways to Prevention Survey II	Form
1 Obesity Methods P2P Survey Obesity Methods P2P Survey_Combined.docx	Form
Fast Track Template - Pathways to Prevention Survey II 20171117.doc Pathways to Prevention Survey II Fast Track template	IC Document

IC Title:

ODP Pathways to Prevention Survey II

Agency IC Tracking Number:

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	1	Obesity Methods P2P Survey	Obesity Methods P2P Survey_Combined.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	800	800
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Pathways to Prevention Survey II Fast Track template	Fast Track Template - Pathways to Prevention Survey II 20171117.doc	11/21/2017

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