OMB
.report
Search
CCL Partner Site-Level Informant Interview
National Evaluation of the DP18-1815 Cooperative Agreement Program: Category B, Cardiovascular Disease Prevention and Management
OMB: 0920-1311
IC ID: 241439
OMB.report
HHS/CDC
OMB 0920-1311
ICR 202110-0920-012
IC 241439
( )
Documents and Forms
Document Name
Document Type
CCL Partner Site-Level Informant Interview
Form and Instruction
CCL Partner-Site Key Informant Interview Guide
Att 4l. CCL Part Site Inform Interview Guide.docx
Form and Instruction
CCL Partner-Site Key Informant Interview Guide
Att 4l. CCL Part Site Inform Interview Guide.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CCL Partner Site-Level Informant Interview
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
CCL Partner-Site Key Informant Interview Guide
Att 4l. CCL Part Site Inform Interview Guide.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
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
15
0
0
0
0
15
Annual IC Time Burden (Hours)
15
0
0
0
0
15
Annual IC Cost Burden (Dollars)
870
0
0
0
0
870
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.