OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

National Public Health Performance Standards Program Local Public Health Governance Performance Assessment Tool

IC 7041 under ICR 201008-0920-006 · OMB 0920-0580.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

National Public Health Performance Standards Program Local Public Health Governance Performance Assessment Tool
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment E Govt booklet C.pdf Yes Yes Fillable Printable
Instruction Attachment E Govt booklet A.pdf Yes Yes Fillable Printable
Instruction Attachment E Govt booklet B.pdf Yes Yes Fillable Printable

Health Public Health Monitoring

 

175 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 175 0 0 0 0 175
Annual IC Time Burden (Hours) 875 0 0 0 0 875
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment F Meeting Guide Attachment F Meeting Guide.doc 07/27/2010
Attachment G Data Enty Instructions Attachment G NPHPSP Data Entry Instructions.doc 07/27/2010
Attachment H Web Screen Shots Attachment H NPHPSP Reporting System Website Screen Shots.doc 07/27/2010
Attachment D Possible Respondents NPHPSP Denominator .xls 07/27/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.