Senior Public Health Advisor

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
0990-0379 Federal side--Program management guidance interview protocol--Draft 4-12-17.docx Other-guidance
0990-0379 Planning Tool Demonstration Protocol_033117.docx Other-tool
0990-0379FastTrackDraft Generic Clearance Submission_Senior Public Health Advisor (oash).docx memo IC Document

Information Collection (IC) Details

IC Title:	Senior Public Health Advisor	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-tool			0990-0379 Planning Tool Demonstration Protocol_033117.docx		No		Fillable Printable
Other-guidance			0990-0379 Federal side--Program management guidance interview protocol--Draft 4-12-17.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 127	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	127	127
Annual IC Time Burden (Hours)	941	941
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
memo	0990-0379FastTrackDraft Generic Clearance Submission_Senior Public Health Advisor (oash).docx	04/20/2017

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