Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
NCCDPHP - Performance Measures for the Improving Adolescent Health and Well-Being Unchanged 61 5913 0 Form 0920-25BS NCCDPHP_DASH_Component1_Guidance
Form 0920-25BS NCCDPHP_DASH_Component3_Guidance
[CSTLTS] Performance Measures to Address COVID-19-Related Health Disparities in Support of the Implementation of the OT21-2103 COVID-19 Health Disparities Grant (carryover to 2023-2025) Unchanged 1296 45360 0 Form and Instruction None Modified Reporting Template for CDC OT21-2103 Performance Measures
[GHCU] CDC Global COVID-19: Monitoring and Evaluation of Partners Supporting CDC's International Response to the Coronavirus Pandemic [carryover for 2023-2025) Unchanged 4620 21912 0 Form and Instruction None COVID-19 Progress Report
Form and Instruction None COVID-19 Global Metrics Report
Form and Instruction None GHCU Program Implementation Indicator Reporting Guidance
[NCEH] Building Resilience Against Climate Effects: Implementing and Evaluating Adaptation Strategies that Protect and Promote Human Health (carryover to 2023-2025) Unchanged 117 585 0 Form and Instruction None BRACE (EH21-2101) Performance Measures Reporting Tool
[NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025) Unchanged 366 7980 0 Form and Instruction None PS20-2010 and PS20-2004 Indicators Reporting Tables
Form and Instruction None PS20-2010 and PS20-2004 Technical Specifications
[NCHHSTP] Performance Measurement for STD Prevention (carryover to 2023-2025) Unchanged 177 5310 0 Form and Instruction None STD PCHD Performance Measurement
[NCHHSTP_OPPE] Support and Scale-Up of HIV Prevention Services in Sexual Health Clinics (or SHIPS) Performance Measures Unchanged 75 57 0 Form and Instruction n/a SHIPS Data Entry Guide
Form and Instruction 0920-1282 SHIPS Biannual Performance Measures
[OADPS / NCSTLTPHIW] Performance Measures for Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems Grant OE22-2203 (2023-2025) Unchanged 963 43014 0 Form and Instruction None Screenshots of Performance Measure Reporting for OE22-2203 Component A
Other-Performance Measure Guidance and Instructions for OE22-2203 Component A
Form 0920-25-0106 Performance Measures for Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems Grant
[OADPS NCHHSTP] Enhancing STI and Sexual Health Clinic Infrastructure Unchanged 104 2392 0 Form and Instruction 0920-1282 Enhancing STI and Sexual Health Clinic Infrastructure Data Reporting
[OADPS/NCEZID] HAI/IR Programs (2023-2025) Unchanged 672 1545 0 Form 0920-1282 Form 1 - HAI/AR Response & Prevention Performance Measures PM1 - PM5
Form 0920-1282 Form 2-1 - HAI/AR Performance Measures (SHARP Project III; Antibiotic Stewardship
Form 0920-1282 Form 3 - HAI/AR Performance Measures (SHARP Project IV; NHSN)
Form 0920-1282 Form 4 - HAI/AR Performance Measures (SHARP Project V; Project Firstline)
Form 0920-1282 Form 5 - HAI/AR Program Staffing Directory
Form and Instruction n/a Form 2-2 - HAI/AR Performance Measures (SHARP Project III; Antibiotic Stewardship
[OADPS] OD2A-LOCAL Cooperative Agreement (# CD23-0003) Modified 80 1400 0 Form n/a Techincal Guidance
Form and Instruction n/a Excel Reporting Tool
[OADPS] Performance Measures Reporting for OD2A in States Cooperative Agreement Unchanged 50 1750 0 Instruction
Form and Instruction 0920-1282 OD2A-S Performance Measures Reporting Tool
[OADPS] [PMP] A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes. Unchanged 77 616 0 Form 0920-24EV AppxA-A Performance Measure Guidance
Form 0920-24EV AppxB-B Performance Measure Guidance
Form 0920-24EV AppxC-C Performance Measure Guidance
[OPPE] TARGETED EVALUATION PROJECTS (TEPs)-SUPPLEMENT to Performance Measures for Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems Grant OE22-2203 [2023, 2024] Unchanged 107 214 0 Form and Instruction 0920-1282 Public Health Infrastructure Grant (PHIG) Targeted Evaluation Projects (TEPs)
[OPPE] The Global Antimicrobial Resistance (AR) Laboratory and Response Network (Global AR Lab and Response Network) [2024-2026] NCEZID GARLRN Unchanged 16 80 0 Form and Instruction n/a GARLRN Performance Measure Tool
[ORR_PPEO] Performance Measure Specifications and Implementation Guidance: Codebook for Data Entry and Reporting Unchanged 186 3168 0 Form and Instruction 0920-1282 State/Local/Territorial Freely Associated States Public Health Agency or Bonafide Agents - Performance Monitoring
Form and Instruction 0920-1282 State/Local/Territorial Freely Associated States Public Health Agency or Bonafide Agents - Performance Evaluation
Form and Instruction 0920-1282 State/Local/Territorial Freely Associated States Public Health Agency or Bonafide Agents - Training Survey and Technical Assistance Survey and Feedback
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 8967 141296 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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