Information Collection

Workload and Time Management Survey

IC 194608 under ICR 201009-0920-003 · OMB 0920-0874.

Documents and Forms

Document Name Document Type
Att C-1. Workload Mgmt Survey REV 11.24.2010[1].pdf Other-Word
Att C-3. F-U Email_09BV.doc Att C-3 IC Document
Att C-2. Cvr Email WLM Survey_09BV.doc Att C-2 IC Document
Att C-1. WLM Survey_09BV[1].doc Att C-1.WLM Survey_09BV IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Workload and Time Management Survey	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-Word			Att C-1. Workload Mgmt Survey REV 11.24.2010[1].pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 46	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	46	46
Annual IC Time Burden (Hours)	184	184
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att C-3	Att C-3. F-U Email_09BV.doc	08/26/2010
Att C-2	Att C-2. Cvr Email WLM Survey_09BV.doc	08/26/2010
Att C-1.WLM Survey_09BV	Att C-1. WLM Survey_09BV[1].doc	11/29/2010

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