View Information Collection (IC)

View Information Collection (IC)

IC Title:	[OADPS NCHHSTP] Enhancing STI and Sexual Health Clinic Infrastructure	Agency IC Tracking Number:

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	0920-1282	Enhancing STI and Sexual Health Clinic Infrastructure Data Reporting	Data Reporting.xlsx	N/A	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	104	0	104	0	0	0
Annual IC Time Burden (Hours)	2,392	0	2,392	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
List of Recipients	List of recipients.docx	03/14/2024
QCS Assessment	QCS Assessment.xlsx	03/14/2024
Recipient Email	Recipient Email.docx	03/14/2024
GenIC Request Template	GenIC Request.pdf	03/14/2024

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