OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Capacity Building Assistance Program: Assessment and Quality Control

OMB 0920-1099 · HHS/CDC.

OMB 0920-1099

Latest Forms, Documents, and Supporting Material

Document Name
Technical Assistance (TA) Satisfaction Instrument Form
Training Follow-Up Instrument (TFI) Form
Health Professional Application for Training (HPAT) Form
Att 16_Security Controls.docx Supplementary Document
Att 15_Privacy Impact Assessment approved (12-10-2018).pdf Supplementary Document
Att 12_TA Satisfaction Follow-up Reminder Email.docx Supplementary Document
Att 11_Training Follow-up Reminder Email.docx Supplementary Document
Att 10_TA Satisfaction Follow-up Instrument Email.docx Supplementary Document
Att 9_Training Instrument Email.docx Supplementary Document
Att 2_60-Day FRN.pdf Supplementary Document
Att 1_Authorizing Legislation.docx Supplementary Document
Supporting Statement B.docx Supporting Statement B
Supporting StatementA.docx Supporting Statement A
Att 16_CBA Key Informant Interview Script Other-WORD
Technical Assistance Telephone Script for Nonresponders Other-phone script
Training Telephone Script for Nonresponders Other-Phone Script
Technical Assistance (TA) Satisfaction Instrument Form
Training Follow-Up Instrument (TFI) Form
Health Professional Application for Training (HPAT) Form

All Historical Document Collections

201902-0920-009 Approved without change	Revision of a currently approved collection	2019-03-05
201611-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-11-04
201610-0920-011 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-10-26
201507-0920-014 Approved with change	New collection (Request for a new OMB Control Number)	2015-09-09