PEMS Data Collection for Health Jurisdictions

HIV Prevention Program Evaluation and Monitoring System for Health Departments and Community-Based Organizations (PEMS)

OMB: 0920-0696

IC ID: 7165

Documents and Forms
Document Name
Document Type
Other-NHME variables and values
Information Collection (IC) Details

View Information Collection (IC)

PEMS Data Collection for Health Jurisdictions
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-NHME variables and values Attachment 5 NHME Variables and Values.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

65 0
   
State, Local, and Tribal Governments
 
   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 260 0 24 0 0 236
Annual IC Time Burden (Hours) 35,880 0 3,548 0 0 32,332
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy