Initial Population of Budget Tool

Monitoring and Reporting System for the National Tobacco Control Program

Documents and Forms

Document Name Document Type
Initial Population of Budget Tool Form
National State-based Tobacco Control Programs Budget Tem Att 4b. NTCP MIS Budget_Template.xlsx Form

Information Collection (IC) Details

IC Title:	Initial Population of Budget Tool	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Form	none	National State-based Tobacco Control Programs Budget Template	Att 4b. NTCP MIS Budget_Template.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-18	18
Annual IC Time Burden (Hours)	-72	72
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.