Information Collection

Performance Progress and Monitoring Report

IC 221557 under ICR 201605-0920-007 · OMB 0920-1132.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1132 can be found here:

Documents and Forms

Document Name Document Type
Performance Progress and Monitoring Report Form and Instruction
Performance Progress and Monitoring Report (PPMR) Instru Draft PPMR Instrument.docx Form and Instruction
PPMR Instrument - Continuation Page Draft PPMR-2.doc Form and Instruction
PPMR Instrument - Attachment A Draft PPMR-A.docx Form and Instruction
PPMR Instrument - Attachment B Draft PPMR-B.docx Form and Instruction
PPMR Instrument - Attachment C Draft PPMR-C.docx Form and Instruction
PPMR Instrument - Attachment D Draft PPMR-D.docx Form and Instruction
PPMR Instrument - Attachment E Draft PPMR-E.docx Form and Instruction
PPMR Instrument - Attachment F Draft PPMR-F.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Performance Progress and Monitoring Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	NA	PPMR Instrument - Continuation Page	Draft PPMR-2.doc	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment D	Draft PPMR-D.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment F	Draft PPMR-F.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment A	Draft PPMR-A.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment B	Draft PPMR-B.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment C	Draft PPMR-C.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment E	Draft PPMR-E.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	Performance Progress and Monitoring Report (PPMR) Instrument - Main	Draft PPMR Instrument.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,200	3,200
Annual IC Time Burden (Hours)	6,400	6,400
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.