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Community of Practice Post-Assessment
Enhancing HIV Care of Women, Infants, Children and Youth Building Capacity through Communities of Practice
OMB: 0915-0391
IC ID: 260188
OMB.report
HHS/HSA
OMB 0915-0391
ICR 202305-0915-004
IC 260188
( )
Documents and Forms
Document Name
Document Type
Form 3
Community of Practice Post-Assessment
Form and Instruction
3 Community of Practice Post-Assessment
Form 3_COP Post-Assessment.docx
Form and Instruction
3 Community of Practice Post-Assessment
Form 3_COP Post-Assessment.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Community of Practice Post-Assessment
Agency IC Tracking Number:
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
Form and Instruction
3
Community of Practice Post-Assessment
Form 3_COP Post-Assessment.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
180
Number of Respondents for Small Entity:
180
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
180
0
180
0
0
0
Annual IC Time Burden (Hours)
68
0
68
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.