DELTA FOCUS PMIS: Initial population

Monitoring and Reporting System for DELTA FOCUS Awardees

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0968 can be found here:

Documents and Forms

Document Name Document Type
Att 3 - PMIS Data Elements.pdf Other-WORD

Information Collection (IC) Details

IC Title:	DELTA FOCUS PMIS: Initial population	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Att 3 - PMIS Data Elements.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	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.