Information Collection

District/School/CBO leadership- interview topic guide

IC 248501 under ICR 202207-0990-004 · OMB 0990-0480.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 6_District or CBO Leadership Interview Topic Guide.docx	Other-interview topic guide
Instrument 6_District or CBO Leadership Interview Topic Guide.docx	Other-interview topic guide

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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-interview topic guide			Instrument 6_District or CBO Leadership Interview Topic Guide.docx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.