Invitation to Complete the Annual Technical Assistance Survey (email)

[NCIPC] Evaluation of the Overdose Data to Action Technical Assistance Hub

Documents and Forms

Document Name Document Type
Att. 7 Email Invitation Annual Technical Assistance Survey.docx Instruction

Information Collection (IC) Details

IC Title:	Invitation to Complete the Annual Technical Assistance Survey (email)	Agency IC Tracking Number:	0920-1355

Is this a Common Form? No		IC Status: New

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
Instruction			Att. 7 Email Invitation Annual Technical Assistance Survey.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	30	30
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.