View Information Collection (IC)

View Information Collection (IC)

IC Title:	[OADPS / NCSTLTPHIW] Performance Measures for Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems Grant OE22-2203 (2023-2025)	Agency IC Tracking Number:	0920-1282-23FF

IC Status: New

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	None	Screenshots of Performance Measure Reporting for OE22-2203 Component A	Appendix B. Screenshots of Component A Recipient Performance Measures.pdf		Yes	Yes	Fillable Fileable
Other-Performance Measure Guidance and Instructions for OE22-2203 Component A			Appendix A. Component A Recipient Performance Measures Guidance.pdf		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: 963	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	963	0	963	0	0	0
Annual IC Time Burden (Hours)	43,014	0	43,014	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
GENIC Template with Brief Project Description and Burden Estimate (OE22-2203 Component A)	PHIG GenIC Request.pdf	06/16/2023
Notification Email	Appendix C. Notification Email.docx	06/16/2023

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