View Information Collection (IC)

View Information Collection (IC)

Spreadsheet for Intervention Sites
No New

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Spreadsheet for National DPP Intervention Sites Att 3a_Spreadsheet for Sites_08-27-15.xlsx Yes Yes Fillable Fileable

Health Illness Prevention


120 5
Private Sector Businesses or other for-profits, Not-for-profit institutions
   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 120 0 120 0 0 0
Annual IC Time Burden (Hours) 90 0 90 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Glossary of Terms Att 3c_Glossary of Terms_08-27-15.docx 09/03/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.