ARRA CDC Performance Progress Report Form

Documents and Forms

Document Name Document Type
Form No number ARRA CDC Performance Progress Report Form Form
No number ARRA CDC Performance Progress Report Form ATTACHMENT B_PPR Form.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ARRA CDC Performance Progress Report Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	No number	ARRA CDC Performance Progress Report Form	ATTACHMENT B_PPR Form.doc		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 559	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 Agency Discretion
Annual Number of Responses for this IC	2,236	2,236
Annual IC Time Burden (Hours)	11,676	11,676
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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