Information Collection

TPP Network grantee technical assistance survey

IC 248263 under ICR 202206-0990-003 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TPP Eval TA_NeedsAssmtSurvey IIN grantees_070721_clean.docx	Other-survey and instructions
TPP Eval TA_NeedsAssmtSurvey IIN grantees_070721_clean.docx	Other-survey and instructions
0990-0379 OPA info collection TPP TA IIN Fast Track_Clearance_Submission_FINAL7232021.docx Fast Track Memo	IC Document
0990-0379 OPA info collection TPP TA IIN Fast Track_Clearance_Submission_FINAL7232021.docx Fast Track Memo	IC Document

IC Title:

TPP Network grantee technical assistance survey

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
Other-survey and instructions			TPP Eval TA_NeedsAssmtSurvey IIN grantees_070721_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 26

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	26	26
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Memo	0990-0379 OPA info collection TPP TA IIN Fast Track_Clearance_Submission_FINAL7232021.docx	07/23/2021

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