Event Description Form

Technology Transfer Center (TTC) Program Monitoring

Documents and Forms

Document Name Document Type
Form Event Description Event Description Form Form and Instruction
Event Description Event Description Form Attachment 1_TTC Event Description Form.doc Form and Instruction
Event Description Event Description Form Attachment 1_TTC Event Description Form.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Event Description Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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
Form and Instruction	Event Description Form	Event Description Form	Attachment 1_TTC Event Description Form.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	188	188
Annual IC Cost Burden (Dollars)	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.