Information Collection

Cooperative Studies Program (CSP) Site Survey and Meeting Evaluationi

IC 211083 under ICR 201403-2900-014 · OMB 2900-0772.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0772 can be found here:

Documents and Forms

Document Name Document Type
Form 10-0511 Cooperative Studies Program (CSP) Site Survey and Meeting Evaluationi Form
10-0511 Cooperative Studies Program (CSP) Site Survey CSP_Site_Survey_10-0511_(1)[1].docx Form
10-0511A Cooperative Studies Program (CSP) Meeting Evaluation CSP_Meeting_Evaluation_10-0511A_(3)[1].docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Cooperative Studies Program (CSP) Site Survey and Meeting Evaluationi	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	10-0511	Cooperative Studies Program (CSP) Site Survey	CSP_Site_Survey_10-0511_(1)[1].docx		No		Paper Only
Form	10-0511A	Cooperative Studies Program (CSP) Meeting Evaluation	CSP_Meeting_Evaluation_10-0511A_(3)[1].docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	0	0
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.