Information Collection

Awardee Training and Techmnical Assistance Tool

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1156 Awardee Training and Technical Assistance Tool 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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.