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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Models of Coordination and Technical Assistance to Achieve Outcomes in Communities
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
Other-guidance
0990-0421Attachment A - Key informant semi-structured discussion guide on using policy levers_OMB - ASPE edits 3.11.20.docx
No
Paper Only
Other-DISCUSSION
0990-0421Attachment B - Focus group discussion guide on experiences receiving TA.docx
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
47
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
47
0
47
0
0
0
Annual IC Time Burden (Hours)
62
0
62
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SS-A
SupportingStatement A_Models of Coordination - updated 3.11.20.docx
03/13/2020
SS-B
0990-0421 SupportingStatement B_Models of Coordination - 1.15.20_OMB - ASPE edits 3.11.20.docx
03/13/2020
COVERSHEET
0990-0421ASPE Generic_Cover sheet_Models of Coordination - 1.15.20.docx
01/16/2020
Att C - Template recruitment email
Attachment C - Template Recruitment Email for Key Informants on Using Policy Levers.docx
03/13/2020
Att D - Template Recruitment Email
Attachment D - Template Recruitment Email for Focus Groups on Experiences Receiving TA.docx
03/13/2020
Att F - Template Follow-Up Email
Attachment F - Template Follow-Up Email for Focus Groups on Experiences Receiving TA.docx
03/13/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.