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

View Information Collection (IC)

Tribal Epidemiology Centers (TECs) Survey Collection 160
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0917-0036-160 TEC Survey Questionnaire IHS_TEC_Survey_Monkey_Questionnaire_5.6.24.pdf Yes Yes Fillable Fileable
Form and Instruction 0917-0036-160 IHS TEC Key Informant Interviews IHS_TEC_Key_Informant_Interview_Guide_5.6.24.docx No   Printable Only
Form and Instruction 0917-0036-160 IHS TEC Focus Group IHS_TEC_Focus_Group_Guide_5.6.24.docx No   Printable Only

Health Public Health Monitoring

 

144 0
   
State, Local, and Tribal Governments
 
   25 %

  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 144 0 144 0 0 0
Annual IC Time Burden (Hours) 912 0 912 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Submission Template IHS TEC - Generic Clearance Submission_DRAFT_v2_ALL_INSTRUMENTS_Updated_3.21.24.docx 05/08/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.