Case Study Interview of TTA Provider Partners

Assessment of Technical Assistance and Training Approaches to Accelerate Comprehensive Cancer Control Outcomes

Documents and Forms

Document Name Document Type
Form n/ Case Study Interview of TTA Provider Partners Form and Instruction
n/ Case Study Interview Guide for TTA Provider Partners Att 4f. Case Study Interview Guide for TTA Provider Partners.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Case Study Interview of TTA Provider Partners	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	n/	Case Study Interview Guide for TTA Provider Partners	Att 4f. Case Study Interview Guide for TTA Provider Partners.docx		No		Paper Only

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: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3	3
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	102	102

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.