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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[OADPS] [PMP] A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes.
Agency IC Tracking Number:
0920-24EV
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
0920-24EV
AppxA-A Performance Measure Guidance
AppxA-A Performance Measure Guidance.docx
Yes
Yes
Fillable Fileable
Form
0920-24EV
AppxB-B Performance Measure Guidance
AppxB-B Performance Measure Guidance.docx
Yes
Yes
Fillable Fileable
Form
0920-24EV
AppxC-C Performance Measure Guidance
AppxC-C Performance Measure Guidance.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
77
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
77
0
77
0
0
0
Annual IC Time Burden (Hours)
616
0
616
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
AppxG Email to recipients
AppxG Email to recipients.docx
04/19/2024
GenIC Request
GenIC request.docx
04/19/2024
A-Data-Reporting-2024-2026
A-Data-Reporting-2024-2026.docx
04/19/2024
B-Data-Reporting-2024-2026
B-Data-Reporting-2024-2026.docx
04/19/2024
C-Data-Reporting-2024-2026
C-Data-Reporting-2024-2026.docx
04/19/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.