Information Collection

Spreadsheet for Grantees

IC 218088 under ICR 201509-0920-001 · OMB 0920-1090.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1090 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Spreadsheet for Grantees	Form
Spreadsheet for NDPP Grantees Att 3b_Spreadsheet for Grantees_08-27-15.xlsx	Form
Att 3c_Glossary of Terms_08-27-15.docx Glossary of Terms	IC Document

IC Title:

Spreadsheet for Grantees

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	none	Spreadsheet for NDPP Grantees	Att 3b_Spreadsheet for Grantees_08-27-15.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

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	6	6
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Glossary of Terms	Att 3c_Glossary of Terms_08-27-15.docx	09/03/2015

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