TTA Follow up Form

Training and Technical Assistance (TTA) Program Monitoring

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0389 can be found here:

Documents and Forms

Document Name Document Type
Form TTA Follow up Form TTA Follow up Form Form and Instruction
TTA Follow up Form TTA Follow up Form Attachment 3_TTA Follow Up Form_1-28-2022.docx Form and Instruction
TTA Follow up Form TTA Follow up Form Attachment 3_TTA Follow Up Form_1-28-2022.docx Form and Instruction

Information Collection (IC) Details

IC Title:	TTA Follow up Form	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 and Instruction	TTA Follow up Form	TTA Follow up Form	Attachment 3_TTA Follow Up Form_1-28-2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: TTA Follow up Form	FR Citation: 75 FR 28264

Number of Respondents: 25,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	4,000	4,000
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.