Information Collection

Phase 2: Workshops on Tobacco Control

IC 221767 under ICR 201606-0925-001 · OMB 0925-0722.

Documents and Forms

Document Name Document Type
Form 16 Phase 2: Workshops on Tobacco Control Form and Instruction
16 4H Workshops on Tobacco Control 4H_Workshops on Tobacco Control.ss.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Phase 2: Workshops on Tobacco Control	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	16	4H Workshops on Tobacco Control	4H_Workshops on Tobacco Control.ss.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Extramural Awards and Chartered Advisory Committees (IMPAC 2), Contract Information (DCIS) and Cooperative Agreement Information, HHS/NIH	FR Citation: 67 FR 60742

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	45	45
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.