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National Public Health Performance Standards Program State Public Health Performance Assessment
National Public Health Performance Standards Program State Public Health System Performance Assessment
OMB: 0920-0557
IC ID: 7010
OMB.report
HHS/CDC
OMB 0920-0557
ICR 201008-0920-005
IC 7010
( )
Documents and Forms
Document Name
Document Type
Form 0920-0557
National Public Health Performance Standards Program State Public Health Performance Assessment
Form and Instruction
0920-0557 NPHPSP Reporting System
NPHPSP Reporting System Version 2 - Website Screen Shots.docx
Form and Instruction
Meeting Guide - STATE 4-08.doc
Meeting Guide State
IC Document
NPHPSP v2 Data Entry Instructions_1007.docx
Data Entry Instructions
IC Document
NPHPSP Denominators.docx
NPHPSP Denominators
IC Document
Meeting Guide - GOV 4-08.doc
Meeting Guide Gov
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Public Health Performance Standards Program State Public Health Performance Assessment
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
0920-0557
NPHPSP Reporting System
NPHPSP Reporting System Version 2 - Website Screen Shots.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
8
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 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
8
0
0
0
0
8
Annual IC Time Burden (Hours)
96
0
0
0
0
96
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Meeting Guide State
Meeting Guide - STATE 4-08.doc
07/23/2010
Data Entry Instructions
NPHPSP v2 Data Entry Instructions_1007.docx
07/23/2010
NPHPSP Denominators
NPHPSP Denominators.docx
07/23/2010
Meeting Guide Gov
Meeting Guide - GOV 4-08.doc
07/23/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.