Information Collection

Data Analyst/Program Evaluator - Telephone Interview Protocol

IC 231176 under ICR 202209-0920-011 · OMB 0920-1233.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Data Analyst/Program Evaluator - Telephone Interview Protocol	Form and Instruction
Data Analyst/Program Evaluator - Telephone Interview Pro A9. Data Analyst Interview Protocol.docx	Form and Instruction
Data Analyst/Program Evaluator - Telephone Interview Pro A9. Data Analyst Interview Protocol.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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
Form and Instruction	NA	Data Analyst/Program Evaluator - Telephone Interview Protocol	A9. Data Analyst Interview Protocol.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-3	3
Annual IC Time Burden (Hours)	-3	3
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.