Information Collection

Executives, PD/PM-Progress Report

IC 219468 under ICR 201601-0930-001 · OMB 0930-0355.

Documents and Forms

Document Name Document Type
Form Progress Report Executives, PD/PM-Progress Report Form and Instruction
Progress Report Progress Report 9-Progress Report Template - HIV Grantees v3.pdf Form and Instruction
Administrative_Dir Administrative_Direct Staff_Partner_ Data Sheet 15-VITEL Administrative_Direct Staff_Partner_ Data Sheet v4.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Executives, PD/PM-Progress Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Form and Instruction	Progress Report	Progress Report	9-Progress Report Template - HIV Grantees v3.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	Administrative_Direct Staff_Partner_ Data Sheet	Administrative_Direct Staff_Partner_ Data Sheet	15-VITEL Administrative_Direct Staff_Partner_ Data Sheet v4.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	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	5	5
Annual IC Time Burden (Hours)	15	15
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.