Information Collection

Community-Based Organizations Capacity Building Assistance Needs Assessment--Dually Funded CBOs funded under both PS11-1113 and PS10-1003)

IC 203574 under ICR 201208-0920-002 · OMB 0920-0948.

Documents and Forms

Document Name Document Type
Community-Based Organizations Capacity Building Assistance Needs Assessment--Dually Funded CBOs funded under both PS11-1113 and PS10-1003) Form and Instruction
Community-Based Organizations Capacity Building Assistan Att 3 CBO Assessment Tool.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Community-Based Organizations Capacity Building Assistance Needs Assessment--Dually Funded CBOs funded under both PS11-1113 and PS10-1003)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

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	None	Community-Based Organizations Capacity Building Assistance Needs Assessment	Att 3 CBO Assessment Tool.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	27	27
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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