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Follow-up Forms
Technology Transfer Center (TTC) Program Monitoring
OMB: 0930-0383
IC ID: 234553
OMB.report
HHS/SAMHSA
OMB 0930-0383
ICR 202205-0930-001
IC 234553
( )
Documents and Forms
Document Name
Document Type
Form Follow-up Form - D
Follow-up Forms
Form and Instruction
Follow-up Form - D Follow-up Form - Domestic
Attachment 4_TTC Follow up Form_domestic_5_2_2019.doc
Form and Instruction
Follow-up Form - D Follow-up Form - Domestic
Attachment 4_TTC Follow up Form_domestic_5_2_2019.doc
Form and Instruction
Follow-up Form - I Follow-up Form - International
Attachment 5_TTC Follow up Form_International_5_2_2019.doc
Form and Instruction
Follow-up Form - I Follow-up Form - International
Attachment 5_TTC Follow up Form_International_5_2_2019.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Follow-up Forms
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Follow-up Form - Domestic
Follow-up Form - Domestic
Attachment 4_TTC Follow up Form_domestic_5_2_2019.doc
Yes
Yes
Fillable Fileable
Form and Instruction
Follow-up Form - International
Follow-up Form - International
Attachment 5_TTC Follow up Form_International_5_2_2019.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
22,500
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
22,500
0
0
0
0
22,500
Annual IC Time Burden (Hours)
3,600
0
0
0
0
3,600
Annual IC Cost Burden (Dollars)
0
0
0
0
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.