Information Collection

Performance Progress and Monitoring Report - Attachment G

IC 225478 under ICR 201708-0920-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Performance Progress and Monitoring Report - Attachment G	Form and Instruction
OFR Risk Questionnaire - Revised 02AUG2017 OFR Risk Questionnaire_Revised 02AUG2017.xlsx	Form and Instruction

IC Title:

Performance Progress and Monitoring Report - Attachment G

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	OFR Risk Questionnaire - Revised 02AUG2017	OFR Risk Questionnaire_Revised 02AUG2017.xlsx	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: 1,632

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,632	1,632
Annual IC Time Burden (Hours)	136	136
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.