PHHS Block Grant Management Information System (BG-MIS) Annual Report

Preventive Health and Health Services Block Grant

OMB: 0920-0106

IC ID: 184866

Information Collection (IC) Details

View Information Collection (IC)

PHHS Block Grant Management Information System (BG-MIS) Annual Report
 
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-WORD Attach 5A Annual Report Instrument.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

61 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 61 0 0 0 0 61
Annual IC Time Burden (Hours) 915 0 -915 0 0 1,830
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 5B Work Plan Guidance Attach 5B Annual Report Guidance.doc 06/01/2011
Att 5C Summary of Changes Attach 5C Annual Report Guidance Updates.docx 06/01/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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