View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

GenIC XDRCI-COST 16AVZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment_B_Introduction_to_the_TB_controller_and_solicitation_of_data_....docx No   Paper Only
Instruction Attachment_Ca_Data_Collection_instructions.docx No   Paper Only
Other-Excel Attachment_Cb_State_and_county_representative_data_collection_spreadshee....xlsx No   Fillable Fileable
Instruction Attachment_Da_Information_transmitting_interview_guide_instrument_progra....docx No   Paper Only
Instruction Attachment_Db_Information_transmitting_interview_guide_instrument_accoun....docx No   Paper Only
Other-WORD Attachment_E_Phone_script_followup_instrument.docx No   Fillable Fileable

Health Illness Prevention

 

45 0
   
State, Local, and Tribal Governments
 
   0 %

  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 45 0 45 0 0 0
Annual IC Time Burden (Hours) 104 0 104 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Sup Sta A XDRCI-COST-SSA.DOCX 07/22/2016
Sup Sta B XDRCI-COST-SSB.DOCX 07/22/2016
Att A_ State and County Collaborators Attachment_A_State_and_county_collaborators.docx 07/22/2016
Att F_Notification Email to TB Controller Attachment_F_Notification_Email_to_TB_Controller.docx 07/25/2016
Att G_Notification Email to Respondent Attachment_G_Notification_Email_to_Respondent.docx 07/25/2016
Att H_Reminder Email Attachment_H_Reminder_email.docx 07/25/2016
Att I_Email to Set-Up Validation Call Attachment_I_Email_to_set_up_validation_call.docx 07/25/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.