OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

OWHPA Grantee Cross-Site Evaluation

IC 238901 under ICR 201708-0990-001 · OMB 0990-0379.

Documents and Forms
Document Name
Document Type
Other-Survey Instrument- Grantee
Other-Surey Instrument- Program Part
IC Document
Information Collection (IC) Details

View Information Collection (IC)

OWHPA Grantee Cross-Site Evaluation
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument- Grantee Attachment A - Interview guide_Grantee_OWHPA Cross-Site_12.18.19.docx No   Paper Only
Other-Surey Instrument- Program Partner Attachment B - Interview guide_Program Partner_OWHPA Cross-Site_12.18.19.docx No   Paper Only

Health Public Health Monitoring

 

40 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 40 0 40 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OWHPA Cross-Site Evaluation FastTrack Memo FastTrack Generic Clearance Submission- OWH Prevention Awards OWHPA Cross Site Evaluation 12-3-19.docx 12/12/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.