Information Collection

PATH Site Visit Discussion

IC 227933 under ICR 202303-0930-003 · OMB 0930-0381.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0381 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0930-0381 PATH _ G PATH Site Visit Discussion	Form and Instruction
0930-0381 PATH _ G 0930-0381 PATH _ Grantee Discussion Guide 0930-0381 PATH_Evaluation Attachment 2 _ Grantee Leadership Discussion Guide.docx	Form and Instruction
0930-0381 PATH _ G 0930-0381 PATH _ Grantee Discussion Guide 0930-0381 PATH_Evaluation Attachment 2 _ Grantee Leadership Discussion Guide.docx	Form and Instruction

IC Title:

PATH Site Visit Discussion

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	0930-0381 PATH _ Grantee Discussion Guide	0930-0381 PATH _ Grantee Discussion Guide	0930-0381 PATH_Evaluation Attachment 2 _ Grantee Leadership Discussion Guide.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 315

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	315	315
Annual IC Time Burden (Hours)	543	543
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.