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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Assessment of Performance Management and Improvement Practices
Agency IC Tracking Number:
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
none
NPHII Annual Assessment
Attachment H. NPHII Annual Assessment (web version).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
74
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
74
0
0
0
0
0
Annual IC Time Burden (Hours)
31
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NPHII FOA
Attachment A. Original NPHII Funding Opportunity Announcement.docx
10/04/2012
Supporting Statement B
NPHII Supporting Statement B.docx
10/04/2012
Map and List of NPHII Awardees
Attachment B. Map and Listing of NPHII Awardees.docx
10/04/2012
Guidance for NPHII Year 2
Attachment C. Continuation Guidance for Year 2 of NPHII.doc
10/04/2012
Guidance for NPHII Year 3
Attachment D. Continuation Guidance for Year 3 of NPHII.doc
10/04/2012
PHAB Standards and Measures
Attachment E. PHAB Standards and Measures (version 1.0).pdf
10/04/2012
Logic Model for Evaluation
Attachment F. Logic Model for NPHII evaluation.docx
10/04/2012
Evaluation questions
Attachment G. NPHII Evaluation Questions.docx
10/04/2012
NPHII Assessment - Word
Attachment I. NPHII Annual Assessment (Word Version).docx
10/04/2012
Email Reminder
Attachment L. Reminder email for NPHII Assessment.docx
10/04/2012
Advance Email
Attachment J. Advance Notification of NPHII Assessment.docx
10/04/2012
Email with Assessment
Attachment K. Email with NPHII Assessment Instructions and Link.docx
10/04/2012
Phone Reminder
Attachment M. Phone Reminder for NPHII Assessment.docx
10/04/2012
Data Privacy Policy
Attachment N. NORC Data Privacy Policy.docx
10/04/2012
Supporting Statement A
NPHII Supporting Statement A (updated 10 4 12).docx
10/04/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.