Information Collection

HIgh Impact Study - Discussion Guide

IC 220381 under ICR 202102-0920-003 · OMB 0920-1129.

Documents and Forms

Document Name Document Type
E2 HIS DSW Discussion Guide for Project Staff.docx Other-Discussion Guide
E2 HIS DSW Discussion Guide for Project Staff.docx Other-Discussion Guide

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HIgh Impact Study - Discussion Guide	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Other-Discussion Guide			E2 HIS DSW Discussion Guide for Project Staff.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: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-20	20
Annual IC Time Burden (Hours)	-20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.