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

View Information Collection (IC)

Local Public Health System Performance Assessment Instrument
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Yes Yes Fillable Fileable

Health Public Health Monitoring

 

350 0
   
State, Local, and Tribal Governments
 
   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 350 0 0 0 0 350
Annual IC Time Burden (Hours) 5,600 0 0 0 0 5,600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att E 07/15/2010
Att E 07/15/2010
Att E 07/15/2010
Att F_Mtg Guide 07/15/2010
Att G_ Data Entry Instructions_1007 07/15/2010
Att H_Screen Shots_Web Based System 07/15/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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