Form 1 Management Information System (MIS) screen shots

MONITORING AND REPORTING SYSTEM FOR CHRONIC DISEASE PREVENTION AND CONTROL PROGRAMS

Att 4. NCCDPHP MIS Screen Shots

Behavioral Risk Factor Surveillance Programs

OMB: 0920-0870

Document [docx]
Download: docx | pdf

Form Approved

OMB No. 0920-XXXX

Exp. xx/xx/xxxx





































Public reporting burden of this collection of information is estimated to average 6 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0479)

NCCDPHP MIS Proposed Screens

Program Information: Contact Information

Program Information: Program Summary



Resources: Personnel



Personnel Continued:

Partners:





Standard Data Sources







Other Data Sources



Plans and Logic Models



Action Plan: Project Period Objective









Action Plan: Project Period Objective (Continued)



Action Plan: Annual Objective









Action Plan: Annual Objective.







Action Plan: Annual Objective





Action Plan: Annual Activity





Action Plan: Objective Progress (for both Project Period and Annual objectives)

Action Plan: Products

13


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorbjn9
File Modified0000-00-00
File Created2021-01-28

© 2024 OMB.report | Privacy Policy