Annual 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: 222376

Information Collection (IC) Details

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Annual 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 8 Annual Health Center Perfornce Meure Repting Tool clean Att 8 Annual Health Center Perfornce Meure Repting Tool clean.docx Yes Yes Fillable Printable
Form N/A Att 8a Annual Health Center Performance Measure Reporting Tool Online Version Att 8a Annual Health Center Performance Measure Reporting Tool Online Version.docx Yes Yes Fillable Fileable

Health Health Care Services

 

4 0
   
State, Local, and Tribal Governments
 
   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 4 0 0 0 0 4
Annual IC Time Burden (Hours) 24 0 0 0 0 24
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.

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