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

View Information Collection (IC)

[NCHHSTP] Performance Measurement for STD Prevention (carryover to 2023-2025) 0920-20KO
 
Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Yes Yes Fillable Fileable

Health Illness Prevention

 

177 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 177 0 0 0 0 177
Annual IC Time Burden (Hours) 5,310 0 0 0 0 5,310
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request Template STD Prevention PS19-1901 (carryover 2023-2025) 01/30/2023
Notification Email 01/30/2023
Overview and Logic Model for PS19-1901 STD PCHD 01/30/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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