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PI Telephone script to schedule Site Visit
Evaluation of the Science Education Partnership Award (SEPA) Program
OMB: 0925-0734
IC ID: 218956
OMB.report
HHS/NIH
OMB 0925-0734
ICR 201511-0925-003
IC 218956
( )
Documents and Forms
Document Name
Document Type
Form 4
PI Telephone script to schedule Site Visit
Form and Instruction
4 Attachment 27 Telephone Script to Schedule the Site Visi
Attachment 27. Telephone Script to Schedule the Site Visit Interview.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PI Telephone script to schedule Site Visit
Agency IC Tracking Number:
Is this a Common Form?
No
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
Form and Instruction
4
Attachment 27 Telephone Script to Schedule the Site Visit Interview
Attachment 27. Telephone Script to Schedule the Site Visit Interview.docx
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
34
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
34
0
34
0
0
0
Annual IC Time Burden (Hours)
3
0
3
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.