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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Assessments of the Quality and Utility of National Public Health Improvement Initiative to Support STLT
Agency IC Tracking Number:
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
none
Focus Group Guide
NPHII Att F Focus Group Guide.docx
No
No
Printable Only
Form
none
Att H - TA Satisfaction Screen Shots
NPHII Att H TA Tool (screenshots).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
176
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
68 %
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
176
0
0
0
0
0
Annual IC Time Burden (Hours)
142
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A
NPHII Support Assessment- Supporting Statement A - v030413.docx
03/07/2013
Supporting Statement B
NPHII Support Assessment- Supporting Statement B - v030413.docx
03/07/2013
Att A - NPHII FOA
NPHII Att A Original NPHII FOA.docx
03/07/2013
Att B - NPHII Awardees
NPHII Att B FY2012 NPHII Awardees.docx
03/07/2013
Att C - Logic Model
NPHII Att C Logic Model for NPHII.docx
03/07/2013
Att D - Assessment Strategy
NPHII Att D. NPHII Assessment Strategy am2.docx
03/07/2013
Att E - Focus Group Protocol
NPHII Att E Focus Group Protocol.docx
03/07/2013
Att G - Focus Group Anonymity Statement
NPHII Att G Focus Group Anonymity Statement am.docx
03/07/2013
Att I - TA Satisfaction Tool - word
NPHII Attt I TA Tool (word doc).docx
03/07/2013
Att J - Invite to Focus Groups - grantees
NPHII Att J Invite to focus group (grantee) am.docx
03/07/2013
Att K - Invite to Focus Group - offsite
NPHII Att K Invite to focus group (offsite) am.docx
03/07/2013
Att L - Focus Group Confirmation
NPHII Att L Focus Group Confirmation (grantee) am.docx
03/07/2013
Att M - Focus Group Confirmation - offsite
NPHII Att M Focus Group Confirmation (offsite) am.docx
03/07/2013
Att N - TA Survey Notfication
NPHII Att N TA Tool Notification_srd.docx
03/07/2013
Att O - TA Survey Reminder
NPHII Att O TA Satisfaction Reminders.docx
03/07/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.