Information Collection

DCP New Grantee Workshop (NCI)

IC 249714 under ICR 202201-0925-002 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 DCP New Grantee Workshop (NCI)	Form
1 Registration 2021 DCP Grantee Workshop Reg 10212021.pdf	Form
1 Registration 2021 DCP Grantee Workshop Reg 10212021.pdf	Form
Sub-Study - DCP New Grantee Workshop 10.12.2021.docx DCP New Grantee Workshop (NCI)	IC Document
Sub-Study - DCP New Grantee Workshop 10.12.2021.docx DCP New Grantee Workshop (NCI)	IC Document
Grantee Meeting Email Invite.docx email invite	IC Document
Grantee Meeting Email Invite.docx email invite	IC Document

IC Title:

DCP New Grantee Workshop (NCI)

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Registration	2021 DCP Grantee Workshop Reg 10212021.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DCP New Grantee Workshop (NCI)	Sub-Study - DCP New Grantee Workshop 10.12.2021.docx	10/12/2021
email invite	Grantee Meeting Email Invite.docx	10/12/2021

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