Att 3_Key Informant Interview--Project Lead

Delta Impact Cooperative Agreement Evaluation data collection Instruments

Documents and Forms

Document Name Document Type
Form 0920- Att 3_Key Informant Interview--Project Lead Form and Instruction
DELTA Impact Att 3 - Project Lead Interview Questions Updated.docx Other-WORD
0920- Instrument: Key Informant Interview – Coalition Project Att 3a_SurveyMonkey_PIA.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Att 3_Key Informant Interview--Project Lead	Agency IC Tracking Number:	0920-20JC

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
Form and Instruction	0920-	Instrument: Key Informant Interview – Coalition Project Lead	Att 3a_SurveyMonkey_PIA.pdf		Yes	Yes	Fillable Fileable
Other-WORD			DELTA Impact Att 3 - Project Lead Interview Questions Updated.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	10	10
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.