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Collaborative Partner Interviews
Now Is the Time (NITT) - Project AWARE (Advancing Wellness and Resilience in Education) - State Education Agencies (SEA) National Evaluation
OMB: 0930-0364
IC ID: 222155
OMB.report
HHS/SAMHSA
OMB 0930-0364
ICR 201606-0930-005
IC 222155
( )
Documents and Forms
Document Name
Document Type
Form Collaboratve Partn
Collaborative Partner Interviews
Form and Instruction
Collaboratve Partn Collaboratve Partner Interview Guide
Attachment 4_OMB Collaboratve Partner Interview Guide_03-22-16.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Collaborative Partner Interviews
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
Collaboratve Partner Interview Guide
Collaboratve Partner Interview Guide
Attachment 4_OMB Collaboratve Partner Interview Guide_03-22-16.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
160
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 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
160
0
160
0
0
0
Annual IC Time Burden (Hours)
160
0
160
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.