Information Collection

Developed Country Partners

IC 217723 under ICR 201507-0925-010 · OMB 0925-0725.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 Developed Country Partners	Form
3 NHLBI GHI COE Eval DCP Interview Guide NHLBI GHI COE Eval_DCP Interview Guide_FINAL_012815.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	3	NHLBI GHI COE Eval DCP Interview Guide	NHLBI GHI COE Eval_DCP Interview Guide_FINAL_012815.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9	9
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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