View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	IHS Division of Grants Management Needs Assessment Survey	Agency IC Tracking Number:	137

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	0917-0036-137	DGM Needs Assessment Survey - Recipients	Training Survey (Recipients) DGM.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0917-0036-0137	DGM Needs Assessment Survey - Staff	Training Survey (Staff) DGM.docx		Yes	Yes	Fillable Fileable

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: 954	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	954	0	954	0	0	0
Annual IC Time Burden (Hours)	80	0	80	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Submission Template	Training Needs Assement Survey Clearance Form 8.9.23.docx	08/14/2023

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