Information Collection

Grantee Leadership Interview Follow-up

IC 235255 under ICR 201903-0990-001 · OMB 0990-0469.

Documents and Forms

Document Name Document Type
0990_new_IMAGIN_Draft Instruments 1B - 4_1.24.19_rev_follow-up4192019_Mathematica.docx Other-interview guide and script

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Grantee Leadership Interview Follow-up	Agency IC Tracking Number:

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
Other-interview guide and script			0990_new_IMAGIN_Draft Instruments 1B - 4_1.24.19_rev_follow-up4192019_Mathematica.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	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	15	15
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

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.