TTA Follow up Form

Training and Technical Assistance (TTA) Program Monitoring

Documents and Forms

Document Name Document Type
Form TTA Follow up Form TTA Follow up Form Form and Instruction
Form TTA Follow up Form TTA Follow up Form Form and Instruction
TTA Follow up Form TTA Follow up Form Attachment 3_TTA Follow Up Form_1-28-2022.docx Form and Instruction
TTA Follow up Form TTA Follow up Form Attachment 3_TTA Follow Up Form_1-28-2022.docx Form and Instruction

Information Collection (IC) Details

IC Title:	TTA Follow up Form	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	TTA Follow up Form	TTA Follow up Form	Attachment 3_TTA Follow Up Form_1-28-2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: TTA Follow up Form	FR Citation: 75 FR 28264

Number of Respondents: 25,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	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.