RFCC Leaders Director/Program Coordinator Questionnaire

The National Evaluation of the Rural/Frontier Women's Health Coordinator Center

Documents and Forms

Document Name Document Type
0990-Appendix D_RFCC Other-questionnaire
0990-Appendix H RFCC.doc 0990-Appendix H RFCC IC Document

Information Collection (IC) Details

IC Title:	RFCC Leaders Director/Program Coordinator Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-questionnaire			0990-Appendix D_RFCC		No	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0990-Appendix H RFCC	0990-Appendix H RFCC.doc	06/07/2007

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