Phone script -non-responders

Capacity Building Assistance Program: Data Management, Monitoring, and Evaluation

Documents and Forms

Document Name Document Type
Phone script -non-responders Form
Telephione script for non-responders Att 15_Training and TA Follow-up Survey Telephone Script for Non-responders.docx Form

Information Collection (IC) Details

IC Title:	Phone script -non-responders	Agency IC Tracking Number:

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	none	Telephione script for non-responders	Att 15_Training and TA Follow-up Survey Telephone Script for Non-responders.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Records of Health Professionals in Disease Prevention and Control Training Programs.	FR Citation: 51 FR 42485

Number of Respondents: 50	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 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	711	711

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.