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

View Information Collection (IC)

Division of Services Improvement Summer Summit Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DSI Cross Grantee Meeting Pre-Survey DSI Cross Grantee Meeting Pre-Survey DSI Cross Grantee Meeting PreSurvey.pdf Yes Yes Fillable Fileable
Form and Instruction DSI Cross Grantee Meeting Post-Survey DSI Cross Grantee Meeting Post-Survey DSI Cross Grantee Meeting PostSurvey.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)  75 FR 28264

860 0
   
State, Local, and Tribal Governments
 
   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 1,720 0 1,720 0 0 0
Annual IC Time Burden (Hours) 172 0 172 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Pre Post Event Questions Pre Post Event Questions - Clean.docx 07/11/2024
DSI Cross Grantee Meeting Request Template Fast Track Generic Cross Grantee Meeting Survey - Clean.docx 07/11/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.