Information Collection

TVAP subrecipients

IC 231475 under ICR 201803-0990-001 · OMB 0990-0464.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A - Social Network Survey Protocol.docx	Other-survey
60-dayFederal Register, Volume 83 Issue 43 (Monday, March 5, 2018).html 60-day FRN	IC Document
30-Federal Register, Volume 83 Issue 95 (Wednesday, May 16, 2018).htm 30-day FRN	IC Document

IC Title:

TVAP subrecipients

Agency IC Tracking Number:

Is this a Common Form? No

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
Other-survey			Attachment A - Social Network Survey Protocol.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 253

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	253	253
Annual IC Time Burden (Hours)	190	190
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
60-day FRN	60-dayFederal Register, Volume 83 Issue 43 (Monday, March 5, 2018).html	05/16/2018
30-day FRN	30-Federal Register, Volume 83 Issue 95 (Wednesday, May 16, 2018).htm	05/16/2018

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