PEPFAR Program Expenditures

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0208 can be found here:

Documents and Forms

Document Name Document Type
Form DS-4213 PEPFAR Program Expenditures Form and Instruction
DS-4213 PEPFAR PROMIS Screenshots PEPFAR PROMIS Screenshots (11-13).pdf www.pepfarpromis.net/promis Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PEPFAR Program Expenditures	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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	DS-4213	PEPFAR PROMIS Screenshots	PEPFAR PROMIS Screenshots (11-13).pdf	https://www.pepfarpromis.net/promis	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,627	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,627	46	1,581
Annual IC Time Burden (Hours)	39,048	1,104	37,944
Annual IC Cost Burden (Dollars)	0	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.