View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[OPHDST] Focus Groups to Provide Feedback on the FY 2024 Public Health Data Strategy Goals and Milestones	Agency IC Tracking Number:	0920-1050-24AV

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 and Instruction	n/a	Focus Group Interview Outline	Attachment A - PHDS FG PRA request_final.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: 200	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	200	0	200	0	0	0
Annual IC Time Burden (Hours)	300	0	300	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request Template	0920-1050 Customer Service GenIC PHDS 2.0 FGs 103023.docx	11/09/2023
SSA Summary Info	SSA_0920-1050_PHDS 2.0 FGs.docx	11/09/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.