View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Assessment of the STD AAPPS Funding Program
Agency IC Tracking Number:
17QU
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
none
STD AAPPS Assessment Tool
Attachment C - Instrument - Electronic Version.pdf
Yes
Yes
Fillable Fileable
Other-Interview Guide
Attachment D - Interview Guide.docx
Yes
No
Paper 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:
118
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
118
0
118
0
0
0
Annual IC Time Burden (Hours)
197
0
197
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
List of Awardees
Attachment A - List of Awardee Respondents.docx
02/06/2017
Notification Email
Attachment E - Notification Email.docx
02/06/2017
Reminder Email
Attachment F - Reminder Email.docx
02/06/2017
Follow-up Email
Attachment G - Extension Email.docx
02/06/2017
Interview Reminder Email
Attachment H Reminder Email Interview.docx
02/06/2017
Supporting Statement B
AAPPS-SSB.docx
02/06/2017
Instrument - Word version
Attachment B - Instrument Word Version.docx
02/06/2017
Supporting Statement A
AAPPS-SSA LATEST.docx
02/06/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.