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State/Local/Tribal Government Sector CTG Awardees - Semiannual Reporting
Monitoring And Reporting System For Community Transformation Grant Awardees
OMB: 0920-0946
IC ID: 203265
OMB.report
HHS/CDC
OMB 0920-0946
ICR 201211-0920-002
IC 203265
( )
Documents and Forms
Document Name
Document Type
Attachment 4. CTG MIS Data Elements.pdf
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State/Local/Tribal Government Sector CTG Awardees - Semiannual Reporting
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
Instruction
Attachment 4. CTG MIS Data Elements.pdf
Yes
Yes
Fillable Fileable
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:
65
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
130
0
22
0
0
108
Annual IC Time Burden (Hours)
390
0
66
0
0
324
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.