Collaboration Questionnaire: Feedback Form

Understanding Multi-Sectoral Collaboration for Strengthening Public Health Capacities in Ethiopia

Documents and Forms

Document Name Document Type
Form 0920-18ATK Collaboration Questionnaire: Feedback Form Form and Instruction
0920-18ATK Questionnaire Feedback AttE-QuestionnaireFeedback.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Collaboration Questionnaire: Feedback Form	Agency IC Tracking Number:	0920-18ATK

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-18ATK	Questionnaire Feedback	AttE-QuestionnaireFeedback.docx		No		Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	160	160
Annual IC Cost Burden (Dollars)	6,242	6,242

Documents for IC

Title	Document	Date Uploaded
No associated records found

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