STARS Activity Form

STARS ACTIVITY FORM
* Items marked with asterisk (*) indicate required fields
Date of Activity			Month: Drop Down			Year: Drop Down
Date of Initial Creation : Auto Populated					Date of Last Update : Auto Populated
Please enter Time Spent below:
Administrative Support (minutes)
SHIP Program Management/Team Member Management (minutes)
Other SHIP Activities (minutes)
Total (minutes)				Auto Totaled
Notes (free text)
Partner Organization Affiliation		Auto Populated from Team Member Form
Activity Reference Number		System Generated upon Saving
Session Entered By		Auto Populated by Role

Public Burden Statement:

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number (OMB 0985-0040). Public reporting burden for this collection of information is estimated to average 7 minutes per response, including time for gathering and maintaining the data needed and completing and reviewing the collection of information. The obligation to respond to this collection is required to retain or maintain benefits.