Information Collection

Awardee Training and Techmnical Assistance Tool

IC 222371 under ICR 201912-0920-012 · OMB 0920-1156.

Documents and Forms

Document Name Document Type
Form 0920-1156 Awardee Training and Techmnical Assistance Tool Form and Instruction
0920-1156 Awardee Training and Technical Assistance Tool Att 7 Awardee Training and Technical Assistance Tool.xls Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Awardee Training and Techmnical Assistance Tool	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	0920-1156	Awardee Training and Technical Assistance Tool	Att 7 Awardee Training and Technical Assistance Tool.xls	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	24	-12	36
Annual IC Time Burden (Hours)	48	-24	72
Annual IC Cost Burden (Dollars)	0	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.