Project Evaluators

Community Support Evaluation

Documents and Forms

Document Name Document Type
Form BPI BHTCC Version Project Evaluators Form and Instruction
BPI BHTCC Version BPI BHTCC Version Attachment A_BPI BHTCC Version.docx Form and Instruction
18-Month Client-Le 18-Month Client-Level Abstraction Tool Attachment G_18-Month Client-Level Abstraction Tool.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Project Evaluators	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	BPI BHTCC Version	BPI BHTCC Version	Attachment A_BPI BHTCC Version.docx		Yes	Yes	Fillable Fileable
Form and Instruction	18-Month Client-Level Abstraction Tool	18-Month Client-Level Abstraction Tool	Attachment G_18-Month Client-Level Abstraction Tool.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	118	118
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.