Information Collection

VETO Volence Tools and Training Customer Satisfaction

IC 235581 under ICR 201612-0920-007 · OMB 0920-1009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1009 VetoViolence Evaluation- Spring 2019 VETO Volence Tools and Training Customer Satisfaction	Form and Instruction
Att 1- Invitation Letter_3_14_19.docx	Other-ord
Att 3- Welcome Email_3_14_19.docx	Other-oRD
0920-1009 VetoViolence Evaluation- Spring 2019 Att 2- SurveyMonkey_3_14_19.pdf	Form and Instruction
Service_Orien_GenIC_VetoToolsandTraining_3_14_19.docx Request for Approval	IC Document

IC Title:

Agency IC Tracking Number:

0920-1009-19AEM

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-ord			Att 1- Invitation Letter_3_14_19.docx	No		Paper Only
Other-oRD			Att 3- Welcome Email_3_14_19.docx	No		Paper Only
Form and Instruction	0920-1009	VetoViolence Evaluation- Spring 2019	Att 2- SurveyMonkey_3_14_19.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 809

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	809	809
Annual IC Time Burden (Hours)	82	82
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	Service_Orien_GenIC_VetoToolsandTraining_3_14_19.docx	04/05/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.