Awardee Lead Profile Assessment (ALPA) Email Survey (MS WORD)

Awardee Lead Profile Assessment (ALPA)

OMB: 0920-1215

IC ID: 244285

Information Collection (IC) Details

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Awardee Lead Profile Assessment (ALPA) Email Survey (MS WORD) 0920-1215
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1215 Awardee Lead Profile Assessment (ALPH) Email Survey (MS WORD) Att4b ALPA_Email Survey_20220527.docx NA Yes Yes Fillable Fileable

Health Illness Prevention

 

1 0
   
State, Local, and Tribal Governments
 
   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 1 0 0 0 0 1
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ALPA Training Manual_20220527 Att4c ALPA Training Manual_20220527.docx 06/03/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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