Information Collection Request

[NCHHSTP] Capacity Building Assistance Program: Data Management, Monitoring, and Evaluation

ICR 202407-0920-005 · OMB 0920-1322 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-1322 Training and Technical Assistance Follow-up Telephone Script for Non-responders Form Modified Available
Form 0920-1322 TTAFS Telephone Script for Non-responders Form Modified Repair queued
Form 0920-1322 Training and Technical Assistance Follow-up Survey - WORD Form Modified Available
Form 0920-1322 Training and Technical Assistance Follow-up Survey Form Modified Available
Form 0920-1322 Training and Technical Assistance Follow-up Survey Form Modified Repair queued
Form 0920-1322 Post-Technical Assistance Evaluation (PTAE) - WORD Form Modified Available
Form 0920-1322 Post-Technical Assistance Evaluation (PTAE) Form Modified Available
Form 0920-1322 Post-Technical Assistance Evaluation (PTAE) Form Modified Repair queued
Form 0920-1322 Post-Training Evaluation (PTE) Form Modified Available
Form 0920-1322 Post Training Evaluation (PTE) Form Modified Available
Form 0920-1322 Post Training Evaluation (PTE) Form Modified Repair queued
Form 0920-1322 Learning Group Registration Form Form Modified Available
Form 0920-1322 'HIVCBA Learning Group Registration 2024 Update' Evaluation Form Modified Available
Form 0920-1322 HIVCBA Learning Group Registration 2024 Update Evaluation Form Modified Repair queued
Att 18 PIA CBO_Program_Data Mgmt_Monitoring_REVISED_06.26.2024.pdf Supplementary Document Uploaded 2024-08-01 Repair queued
Att 17_Project Determination - CBA.docx Supplementary Document Uploaded 2024-08-01 Repair queued
Att 16_Security Controls.docx Supplementary Document Uploaded 2024-08-01 Repair queued
Att 2 60 Day FRN Pub 2-5-2024.pdf Supplementary Document Uploaded 2024-08-01 Repair queued
Att 1_Sect 301 PHSA.pdf Supplementary Document Uploaded 2024-08-01 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2024-08-01 Repair queued
Supporting Statement A_rev 080924.docx Supporting Statement A Uploaded 2024-08-19 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
242741 TTAFS Telephone Script for Non-responders Form ModifiedTraining and Technical Assistance Follow-up Telephone Script for Non-responders
242741 TTAFS Telephone Script for Non-responders Form Modified
242740 Training and Technical Assistance Follow-up Survey Form ModifiedTraining and Technical Assistance Follow-up Survey - WORD
242740 Training and Technical Assistance Follow-up Survey Form ModifiedTraining and Technical Assistance Follow-up Survey
242740 Training and Technical Assistance Follow-up Survey Form Modified
242739 Post-Technical Assistance Evaluation (PTAE) Form ModifiedPost-Technical Assistance Evaluation (PTAE) - WORD
242739 Post-Technical Assistance Evaluation (PTAE) Form ModifiedPost-Technical Assistance Evaluation (PTAE)
242739 Post-Technical Assistance Evaluation (PTAE) Form Modified
242738 Post Training Evaluation (PTE) Form ModifiedPost-Training Evaluation (PTE)
242738 Post Training Evaluation (PTE) Form ModifiedPost Training Evaluation (PTE)
242738 Post Training Evaluation (PTE) Form Modified
242737 HIVCBA Learning Group Registration 2024 Update Evaluation Form ModifiedLearning Group Registration Form
242737 HIVCBA Learning Group Registration 2024 Update Evaluation Form Modified'HIVCBA Learning Group Registration 2024 Update' Evaluation
242737 HIVCBA Learning Group Registration 2024 Update Evaluation Form Modified

ICR Details

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  Inventory as of this Action Requested Previously Approved
36 Months From Approved
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IC Title Form No. Form Name
HIVCBA Learning Group Registration 2024 Update Evaluation 0920-1322, 0920-1322 ,  
Post Training Evaluation (PTE) 0920-1322, 0920-1322 ,  
Post-Technical Assistance Evaluation (PTAE) 0920-1322, 0920-1322 ,  
TTAFS Telephone Script for Non-responders 0920-1322
Training and Technical Assistance Follow-up Survey 0920-1322, 0920-1322 ,  



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