DELTA FOCUS PMIS: Initial population

Monitoring and Reporting System for DELTA FOCUS Awardees

OMB: 0920-0968

IC ID: 206293

Documents and Forms
Document Name
Document Type
Other-WORD
Information Collection (IC) Details

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DELTA FOCUS PMIS: Initial population
 
No New
 
Mandatory
 

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

Health Public Health Monitoring

 

10 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 10 0 10 0 0 0
Annual IC Time Burden (Hours) 150 0 150 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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