View Information Collection (IC)
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Annual Progress Report Tool
Agency IC Tracking Number:
0920-20OW
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
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
0920-1247
Delta Impact
DELTA Impact Att. 3a APR Tool 5.15.2020 Updated.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
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
10
0
0
0
0
10
Annual IC Time Burden (Hours)
117
0
0
0
0
117
Annual IC Cost Burden (Dollars)
3,586
0
0
0
0
3,586
Documents for IC
Title
Document
Date Uploaded
Crosswalk of Changes
Crosswalk of APR Changes May 14 new format.docx
06/18/2020
Chnage Request
OMB_Change_Request_DELTA_051520 updated 6_8.docx
06/18/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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