View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	TPP Network grantee technical assistance survey	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-survey and instructions			TPP Eval TA_NeedsAssmtSurvey IIN grantees_070721_clean.docx		Yes	Yes	Fillable Fileable

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: 26	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

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	26	0	26	0	0	0
Annual IC Time Burden (Hours)	4	0	4	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Memo	0990-0379 OPA info collection TPP TA IIN Fast Track_Clearance_Submission_FINAL7232021.docx	07/23/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.