Document Name Document Type
Technical Assistance and Service Improvement Initiative (TASII) Form
Survey Web Screenshots Attachment H. TASII External Stakeholder Survey Instrument - Web Screen Shots.docx Form
Survey Notification Email Attachment K. Survey Notification Email.docx Form
Survey Reminder Emails Attachment L. TASII Survey Reminders (Email only).docx Form
TASII Supporting Statement A.docx Supporting Statement Part A IC Document
TASII Supporting Statement B.docx Supporting Statement Part B IC Document
Attachment I. TASII Key Evaluation Questions.pdf Evlauation Questions IC Document
Attachment G. TASII External Stakeholder Survey Instrument - Word Version.docx Survey - Word version IC Document
Attachment B. 2008 ASTHO Letter to CDC Director.pdf ASTHO Letter to CDC Director IC Document
Attachment C. Partner Service Workgroup Summary.pdf Partner Services Workgroup Summary IC Document
Attachment D. STLT Workgroup of the Advisory Committee to the Director (ACD) of CDC.pdf Advisory Committee to CDC Director IC Document
Attachment E. OSTLTS Transformation Project Report.pdf Transformation Project Report IC Document
Attachment F. TASII Focus Group Report.pdf Focus Group Report IC Document
Attachment J. Number of Grantees by CIO.docx Number of Grantees by CIO IC Document
Attachment A. Sources for Recommendations to Implement External Stakeholder Survey.pdf Sources for Recommendations IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Technical Assistance and Service Improvement Initiative (TASII)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Survey Web Screenshots	Attachment H. TASII External Stakeholder Survey Instrument - Web Screen Shots.docx	Yes	Yes	Fillable Fileable
Form	none	Survey Notification Email	Attachment K. Survey Notification Email.docx	Yes	No	Fillable Fileable
Form	none	Survey Reminder Emails	Attachment L. TASII Survey Reminders (Email only).docx	Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,541	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 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	2,541	0	0	0	0	0
Annual IC Time Burden (Hours)	1,482	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Part A	TASII Supporting Statement A.docx	07/09/2012
Supporting Statement Part B	TASII Supporting Statement B.docx	07/09/2012
Evlauation Questions	Attachment I. TASII Key Evaluation Questions.pdf	07/09/2012
Survey - Word version	Attachment G. TASII External Stakeholder Survey Instrument - Word Version.docx	07/09/2012
ASTHO Letter to CDC Director	Attachment B. 2008 ASTHO Letter to CDC Director.pdf	07/09/2012
Partner Services Workgroup Summary	Attachment C. Partner Service Workgroup Summary.pdf	07/09/2012
Advisory Committee to CDC Director	Attachment D. STLT Workgroup of the Advisory Committee to the Director (ACD) of CDC.pdf	07/09/2012
Transformation Project Report	Attachment E. OSTLTS Transformation Project Report.pdf	07/09/2012
Focus Group Report	Attachment F. TASII Focus Group Report.pdf	07/09/2012
Number of Grantees by CIO	Attachment J. Number of Grantees by CIO.docx	07/09/2012
Sources for Recommendations	Attachment A. Sources for Recommendations to Implement External Stakeholder Survey.pdf	07/09/2012

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

Technical Assistance and Service Improvement Initiative (TASII)