Att 7_Technical Assistance (TA) Satisfaction Instrument

Capacity Building Assistance Program: Assessment and Quality Control

OMB: 0920-1099

IC ID: 217676

Information Collection (IC) Details

View Information Collection (IC)

Att 7_Technical Assistance (TA) Satisfaction Instrument 15NR
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att 7 TA_Instrument_wordversion.docx Yes Yes Fillable Printable
Other-SCREENSHOTS Att 8 TA_Instrument_screenshot.docx Yes Yes Fillable Printable

Health Illness Prevention

 

3,700 0
   
State, Local, and Tribal Governments
 
   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 7,400 0 0 0 0 7,400
Annual IC Time Burden (Hours) 1,850 0 0 0 0 1,850
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 10_TA Intro Email Att 10 TA_Intro_Email.docx 08/21/2015
Att 12_TA Reminder Email Att 12 TA_Reminder_Email.docx 08/21/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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