Information Collection

ARRA CDC Performance Progress Report Form

IC 190825 under ICR 200909-0920-013 · OMB 0920-0830.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form No number ARRA CDC Performance Progress Report Form ARRA CDC Performance Progress Report Form	Form
No number ARRA CDC Performance Progress Report Form ATTACHMENT B_PPR Form.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	No number				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 %

table that charts list of burden
	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

table that charts IC Documents
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.

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