Information Collection

PEPFAR Program Expenditures

IC 203991 under ICR 201208-1405-009 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ExpenditureAnalysisManual_Generic_071812.pdf	Instruction
DS4213 PEPFAR Program Expenditures DS-4213 PEPFAR Expenditures Reporting_PRINT-ONLY.xlsx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			ExpenditureAnalysisManual_Generic_071812.pdf		Yes	Yes	Fillable Fileable
Form	DS4213	PEPFAR Program Expenditures	DS-4213 PEPFAR Expenditures Reporting_PRINT-ONLY.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,583

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,583	1,583
Annual IC Time Burden (Hours)	37,992	37,992
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.