Information Collection

Project Partner Telephone script to schedule site visit

IC 218978 under ICR 201511-0925-003 · OMB 0925-0734.

Documents and Forms

Document Name Document Type
Form 9 Project Partner Telephone script to schedule site visit Form and Instruction
9 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:	Project Partner 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	9	Attachment 27 Telephone Script to Schedule the Site Visit Interview	Attachment 27. Telephone Script to Schedule the Site Visit Interview.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 74	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	74	74
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	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.