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Outreach & Communication Plan Template with Instructions
[NCEH] Environmental Public Health Tracking Network (Tracking Network)
OMB: 0920-1175
IC ID: 222654
OMB.report
HHS/CDC
OMB 0920-1175
ICR 202306-0920-006
IC 222654
( )
Documents and Forms
Document Name
Document Type
Form 0920-1175
Outreach & Communication Plan Template with Instructions
Form and Instruction
0920-1175 Outreach & Communication Plan Template with Instructions
Att5d_ComPlanTmplt&Guide 2020 final.docx
Form and Instruction
0920-1175 Outreach & Communication Plan Template with Instructions
Att5d_ComPlanTmplt&Guide 2020 final.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Outreach & Communication Plan Template with Instructions
Agency IC Tracking Number:
0920-1175
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
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
0920-1175
Outreach & Communication Plan Template with Instructions
Att5d_ComPlanTmplt&Guide 2020 final.docx
NA
Yes
Yes
Printable 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:
37
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
37
0
7
0
0
30
Annual IC Time Burden (Hours)
74
0
-526
0
0
600
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.