Building Healthy Military Communities Pilot - Rapid Needs Assessment

Documents and Forms

Document Name Document Type
Needs Assessment Meeting Scripts_Public.docx Other-Questionnaire Script

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Building Healthy Military Communities Pilot - Rapid Needs Assessment	Agency IC Tracking Number:	0704-AAKS

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
Other-Questionnaire Script			Needs Assessment Meeting Scripts_Public.docx		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 280	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	280	280
Annual IC Time Burden (Hours)	420	420
Annual IC Cost Burden (Dollars)	13,062	13,062

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.