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Community College Consortia
Regional Extension Center Cooperative Agreement Program (CRM Tool)
OMB: 0955-0009
IC ID: 195151
OMB.report
HHS/ONC
OMB 0955-0009
ICR 201705-0955-001
IC 195151
( )
Documents and Forms
Document Name
Document Type
0990-CRMTOOLsCCC Operation Plan Template.xls
Other-ccc
0990-REC CRM Tool Screenshots.doc
0990-REC CRM Tool Screenshots
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Community College Consortia
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
Other-ccc
0990-CRMTOOLsCCC Operation Plan Template.xls
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
24
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
576
0
-1,104
0
0
1,680
Annual IC Time Burden (Hours)
864
0
0
-1,656
0
2,520
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
0990-REC CRM Tool Screenshots
0990-REC CRM Tool Screenshots.doc
10/21/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.