View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[PHIC] PHHS Block Grant and PHIG Listening Sessions (2024)	Agency IC Tracking Number:	0920-1050

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	0920-1050	Guiding Questions for the PHHS Block Grant and PHIG Listening Session	Att A_PHHSBG PHIG Questions.docx	N/A	No		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: 58	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	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	58	0	58	0	0	0
Annual IC Time Burden (Hours)	87	0	87	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
0920-1050 GenIC Request Template	0920-1050_PHIC_Listening Sessions 2024 08 16.docx	08/16/2024

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