Evaluation data for private-sector organizations

CDC Diabetes Prevention Recognition Program

OMB: 0920-0909

IC ID: 199192

Information Collection (IC) Details

View Information Collection (IC)

Evaluation data for private-sector organizations
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Att 5a - Evaluation data elements Attachment 5A - Evaluation Data Elements (07.29.11).docx Yes Yes Fillable Fileable

Health Health Care Services

 

216 36
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 432 0 432 0 0 0
Annual IC Time Burden (Hours) 432 0 432 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 5b - Evaluation reminder Attachment 5B - Evaluation Data Reminder (07.29.11).docx 09/01/2011
Att 5c - Ongoing evaluation reminder Attachment 5C - Ongoing Evaluation Data Reminder (07.29.11).docx 09/01/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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