Information Collection

BUILD Case Studies Preparation

IC 239832 under ICR 202305-0925-003 · OMB 0925-0747.

Documents and Forms

Document Name Document Type
Form 7 BUILD Case Studies Preparation Form and Instruction
7 BUILD Site Visit & Case Studies Protocol Attachment 18_BUILD_Site_Visit_&_Case_Studies_Protocol.pdf Form and Instruction
7 BUILD Site Visit & Case Studies Protocol Attachment 18_BUILD_Site_Visit_&_Case_Studies_Protocol.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	BUILD Case Studies Preparation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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 and Instruction	7	BUILD Site Visit & Case Studies Protocol	Attachment 18_BUILD_Site_Visit_&_Case_Studies_Protocol.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-24	24
Annual IC Time Burden (Hours)	-960	960
Annual IC Cost Burden (Dollars)	0	0

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.