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Awardee Lead Profile Assessment (ALPA) Email Survey (MS WORD)
Awardee Lead Profile Assessment (ALPA)
OMB: 0920-1215
IC ID: 244285
OMB.report
HHS/CDC
OMB 0920-1215
ICR 202206-0920-003
IC 244285
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1215 can be found here:
2023-03-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-1215
Awardee Lead Profile Assessment (ALPA) Email Survey (MS WORD)
Form and Instruction
0920-1215 Awardee Lead Profile Assessment (ALPH) Email Survey (MS
Att4b ALPA_Email Survey_20220527.docx
Form and Instruction
0920-1215 Awardee Lead Profile Assessment (ALPH) Email Survey (MS
Att4b ALPA_Email Survey_20220527.docx
Form and Instruction
Att4c ALPA Training Manual_20220527.docx
ALPA Training Manual_20220527
IC Document
Att4c ALPA Training Manual_20220527.docx
ALPA Training Manual_20220527
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Awardee Lead Profile Assessment (ALPA) Email Survey (MS WORD)
Agency IC Tracking Number:
0920-1215
Is this a Common Form?
No
IC Status:
Modified
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 and Instruction
0920-1215
Awardee Lead Profile Assessment (ALPH) Email Survey (MS WORD)
Att4b ALPA_Email Survey_20220527.docx
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
1
0
0
0
0
1
Annual IC Time Burden (Hours)
1
0
0
0
0
1
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
ALPA Training Manual_20220527
Att4c ALPA Training Manual_20220527.docx
06/03/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.