Information Collection

NOFO: Assessment of Language and Structure

IC 235662 under ICR 201711-0920-012 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NOFO: Assessment of Language and Structure	Form
Attachment D - Telephone Interview Guide.docx	Other-Interview Guide
NOFO Assessment Attachment C - Web-Based Data Collection Instrument PDF Version.pdf	Form
NOFO-APPL-SSA.docx Supporting Statement A	IC Document
NOFO-APPL-SSB.docx Supporting Statement B	IC Document
Attachment A - Respondent Breakdown.docx Respondent State Distribution	IC Document
Attachment E - Web-based data collection invitation email.docx Invitation email	IC Document
Attachment F - Web-Based Data Collection Reminder Email 1.docx Reminder Email	IC Document
Attachment G - Web-Based Data Collection Reminder Emails 2.docx Second Reminder Email	IC Document
Attachment H - Telephone Invitation Email.docx Telephone Invitation Email	IC Document
Attachment I - Telephone Reminder Email.docx Telephone Reminder Email	IC Document

IC Title:

NOFO: Assessment of Language and Structure

Agency IC Tracking Number:

0920-0879-19AOH

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	NOFO Assessment	Attachment C - Web-Based Data Collection Instrument PDF Version.pdf		Yes	Yes	Fillable Fileable
Other-Interview Guide			Attachment D - Telephone Interview Guide.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 775

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	775	775
Annual IC Time Burden (Hours)	335	335
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A	NOFO-APPL-SSA.docx	04/11/2019
Supporting Statement B	NOFO-APPL-SSB.docx	04/11/2019
Respondent State Distribution	Attachment A - Respondent Breakdown.docx	04/11/2019
Invitation email	Attachment E - Web-based data collection invitation email.docx	04/11/2019
Reminder Email	Attachment F - Web-Based Data Collection Reminder Email 1.docx	04/11/2019
Second Reminder Email	Attachment G - Web-Based Data Collection Reminder Emails 2.docx	04/11/2019
Telephone Invitation Email	Attachment H - Telephone Invitation Email.docx	04/11/2019
Telephone Reminder Email	Attachment I - Telephone Reminder Email.docx	04/11/2019

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