Information Collection

Policy Academy 6-Month Follow-Up

IC 269308 under ICR 202603-0930-001 · OMB 0930-0316.

Documents and Forms

Document Name Document Type
Form Six month Post Pol Six month Post Policy Academy Follow-up Policy Academy 6-Month Follow-Up Form and Instruction
Six month Post Pol Six month Post Policy Academy Follow-up Six-Month Post-Policy Academy Follow-Up_final.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Policy Academy 6-Month Follow-Up	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	Six month Post Policy Academy Follow-up	Six month Post Policy Academy Follow-up	Six-Month Post-Policy Academy Follow-Up_final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	19	19
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.

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