Site Visit Preparation for Cancer Control Programs and Tobacco Control Programs

Study of Comprehensive Cancer Control and Tobacco Control Program Partnerships

Documents and Forms

Document Name Document Type
Appendix 05_Site Visit Preparation Instructions.doc Other-Guidance
Appendix 04_Introductory Email for Prep Call.doc Appendix 04_Introductory Email for Prep Call IC Document

Information Collection (IC) Details

IC Title:	Site Visit Preparation for Cancer Control Programs and Tobacco Control Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Guidance			Appendix 05_Site Visit Preparation Instructions.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14	14
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix 04_Introductory Email for Prep Call	Appendix 04_Introductory Email for Prep Call.doc	08/25/2011

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