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Annual Technical Assistance Survey

IC 247858 under ICR 202409-0920-011 · OMB 0920-1355.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Annual Technical Assistance Survey 0920-1355
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1355 Annual Technical Assistance Survey Att. 5 Annual Technical Assistance Survey.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

162 0
   
State, Local, and Tribal Governments
 
   100 %

  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 162 0 -278 0 0 440
Annual IC Time Burden (Hours) 27 0 -68 0 0 95
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Annual Technical Assistance Survey (screenshot) Att. 5a Screenshot_Annual Technical Assistance Survey.pdf 09/26/2024
Email Invitation (DOP TAC Annual Survey) Att. 7 Email Invitation Annual Technical Assistance Survey.docx 09/26/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.