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Site Visit Discussion Guide - Administrators
[NCCDPHP] WISEWOMAN National Program Evaluation
OMB: 0920-1279
IC ID: 238079
OMB.report
HHS/CDC
OMB 0920-1279
ICR 202211-0920-004
IC 238079
( )
Documents and Forms
Document Name
Document Type
Form 0920-1279
Site Visit Discussion Guide - Administrators
Form
0920-1279 Key Administrative Staff Discussion Guide
Attachment D1 Admin staff protocol.docx
Form
0920-1279 Key Administrative Staff Discussion Guide
Attachment D1 Admin staff protocol.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Site Visit Discussion Guide - Administrators
Agency IC Tracking Number:
0920-1279
Is this a Common Form?
No
IC Status:
Modified
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
0920-1279
Key Administrative Staff Discussion Guide
Attachment D1 Admin staff protocol.docx
Yes
No
Paper Only
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:
8
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
8
0
0
0
0
8
Annual IC Time Burden (Hours)
12
0
0
0
0
12
Annual IC Cost Burden (Dollars)
579
0
0
0
0
579
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.
