Information Collection

Feedback and Lessons Learned from CBO Program Award Recipients

IC 259277 under ICR 202308-0915-005 · OMB 0915-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
03212023 - CBO Tab B - Focus Group Guide OMB 0915-0212.docx	Instruction
03212023 - CBO Tab B - Focus Group Guide OMB 0915-0212.docx	Instruction
03152023 - CBO Tab C - Recruitment and Sampling Method OMB 0915-0212.docx	Instruction
03152023 - CBO Tab C - Recruitment and Sampling Method OMB 0915-0212.docx	Instruction
03152023 - CBO Tab D - Facilitator Recruitment Materials OMB 0915-0212.docx	Instruction
03152023 - CBO Tab D - Facilitator Recruitment Materials OMB 0915-0212.docx	Instruction
03152023 - CBO Tab A - Fast Track Memo - OMB 0915-0212.docx Fast Track Memo	IC Document
03152023 - CBO Tab A - Fast Track Memo - OMB 0915-0212.docx Fast Track Memo	IC Document

IC Title:

Feedback and Lessons Learned from CBO Program Award Recipients

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	03212023 - CBO Tab B - Focus Group Guide OMB 0915-0212.docx	Yes	Yes	Fillable Fileable
Instruction	03152023 - CBO Tab C - Recruitment and Sampling Method OMB 0915-0212.docx	Yes	Yes	Fillable Fileable
Instruction	03152023 - CBO Tab D - Facilitator Recruitment Materials OMB 0915-0212.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Memo	03152023 - CBO Tab A - Fast Track Memo - OMB 0915-0212.docx	03/22/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.