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Community of Practice Session Assessment
Enhancing HIV Care of Women, Infants, Children and Youth Building Capacity through Communities of Practice
OMB: 0915-0391
IC ID: 260187
OMB.report
HHS/HSA
OMB 0915-0391
ICR 202305-0915-004
IC 260187
( )
Documents and Forms
Document Name
Document Type
Form 4
Community of Practice Session Assessment
Form and Instruction
4 Community of Practice Session Assessment
Form 4_COP Session Assessment.docx
Form and Instruction
4 Community of Practice Session Assessment
Form 4_COP Session Assessment.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Community of Practice Session Assessment
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
Form and Instruction
4
Community of Practice Session Assessment
Form 4_COP Session Assessment.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
270
Number of Respondents for Small Entity:
270
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
1,620
0
1,620
0
0
0
Annual IC Time Burden (Hours)
124
0
124
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.