Att 14_Technical Assistance Telephone Script for Nonresponders

Capacity Building Assistance Program: Assessment and Quality Control

OMB: 0920-1099

IC ID: 217966

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Att 14_Technical Assistance Telephone Script for Nonresponders 15NR
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att 14 TA_phone_script.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

3,700 0
   
State, Local, and Tribal Governments
 
   60 %

  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

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