Health Department Needs Assessment

"HIV Prevention Capacity Development Needs Assessments of Federally funded Health Departments and Community-based Organizations

OMB: 0920-1377

IC ID: 251349

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Health Department Needs Assessment 0920-21HU
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920- Health Departments Needs Assessment Att 3b_Health Departments Needs Assessment.docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

70 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 70 0 70 0 0 0
Annual IC Time Burden (Hours) 23 0 23 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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