Cost Study Resource Use and Cost Inventory Tool – Partner/Site Level

National Evaluation of the DP18-1815 Cooperative Agreement Program: Category B, Cardiovascular Disease Prevention and Management

OMB: 0920-1311

IC ID: 241440

Information Collection (IC) Details

View Information Collection (IC)

Cost Study Resource Use and Cost Inventory Tool – Partner/Site Level
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Resource Use and Cost Inventory Tool Att 5b. Cost Resource Use_Inven Tool CatB_Site.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

17 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 17 0 17 0 0 0
Annual IC Time Burden (Hours) 34 0 34 0 0 0
Annual IC Cost Burden (Dollars) 1,870 0 1,870 0 0 0

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