Information Collection

State/Local/Tribal Government Sector CTG Awardees - Semiannual Reporting

IC 203265 under ICR 201211-0920-002 · OMB 0920-0946.

Documents and Forms

Document Name Document Type
Attachment 4. CTG MIS Data Elements.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State/Local/Tribal Government Sector CTG Awardees - Semiannual Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Instruction			Attachment 4. CTG MIS Data Elements.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 65	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	130	22	108
Annual IC Time Burden (Hours)	390	66	324
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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