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Federal forms, ICRs, and supporting documents

Information Collection

DELTA FOCUS PMIS: Initial population

IC 206293 under ICR 201602-0920-003 · OMB 0920-0968.

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

View Information Collection (IC)

DELTA FOCUS PMIS: Initial population
 
No Removed
 
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 0 0 -10 0 0 10
Annual IC Time Burden (Hours) 0 0 -150 0 0 150
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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