Quarterly Health Center Performance Measure Reporting Tool

Performance Monitoring of “Working with Publicly Funded Health Centers to Reduce Teen Pregnancy among Youth from Vulnerable Populations

OMB: 0920-1156

IC ID: 222365

Information Collection (IC) Details

View Information Collection (IC)

Quarterly Health Center Performance Measure Reporting Tool
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Att 7 Quarterly Health Center Performance Measure Reporting Tool clean Att 7 Quarterly Health Center Performance Measure Reporting Tool clean.docx Yes Yes Fillable Printable
Form N/A Att 7a Quarterly Health Center Performance Measure Reporting Tool Online Version Att 7a Quarterly Health Center Performance Measure Reporting Tool Online Version.docx Yes Yes Fillable Fileable

Health Health Care Services

 

21 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 63 0 0 0 0 63
Annual IC Time Burden (Hours) 252 0 0 0 0 252
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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