View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Performance Improvement Measurement System for the Office for the Advancement of Telehealth
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Asthma SB TNGP - DED - Module for Asthma.docx Yes No Fillable Printable
Form 2 Behavioral Health SB TNGP - DED - Module for Behavioral Health.docx Yes No Fillable Printable
Form 3 Diabetes SB TNGP - DED - diabetes - OMB documentation.docx Yes No Fillable Printable
Form 4 Healthy Weight SB TNGP - DED - Module for Healthy Weight.docx Yes No Fillable Printable
Form 5 Oral Health SB TNGP - DED - Module for Oral Health.docx Yes No Fillable Printable
Form 6 School Level SB TNGP - DED - School Level.docx Yes No Fillable Printable
Form 7 Student Level SB TNGP - DED - Student Level.docx Yes No Fillable Printable

Health Health Care Services

 

21 0
   
Private Sector Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 21 0 -379 0 0 400
Annual IC Time Burden (Hours) 147 0 -2,653 0 0 2,800
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OAT Grantee Tutorial OAT Grantee Tutorial for PIMS login.pdf 06/13/2018
RTRC Measures RTRC measures.pdf 06/13/2018
TNGP PIMS Manual TNGP PIMS manual.pdf 06/13/2018
TNGP PIMS Instructions TNGP PIMS measures instructions.docx 06/13/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.