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Follow-up Case Study Interview of DP13-1315 Program Director or Manager
Assessing the Impact of Targeted Training and Technical Assistance Efforts on the Implementation of Comprehensive Cancer Control
OMB: 0920-1193
IC ID: 226619
OMB.report
HHS/CDC
OMB 0920-1193
ICR 201703-0920-006
IC 226619
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1193 can be found here:
2020-06-15 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Follow-up Case Study Interview of DP13-1315 Program Director or Manager
Form and Instruction
Follow-up Case Study Interview Guide for DP13-1315 Progr
Att 7b_Follow up Case Study Interview Guide for DP13-1315 PD PM.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Follow-up Case Study Interview of DP13-1315 Program Director or Manager
Agency IC Tracking Number:
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
Form and Instruction
N/A
Follow-up Case Study Interview Guide for DP13-1315 Program Director or Manager
Att 7b_Follow up Case Study Interview Guide for DP13-1315 PD PM.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
1
0
1
0
0
0
Annual IC Time Burden (Hours)
1
0
1
0
0
0
Annual IC Cost Burden (Dollars)
56
0
56
0
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.