Application data for public-sector organizations

CDC Diabetes Prevention Recognition Program (DPRP)

OMB: 0920-0909

IC ID: 199189

Information Collection (IC) Details

View Information Collection (IC)

Application data for public-sector organizations
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0909 DPRP Application Form Att 4A DPRP Application Form and Instructions (screenshots).docx NA Yes Yes Fillable Fileable

Health Health Care Services

 

150 0
   
State, Local, and Tribal Governments
 
   100 %

  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 150 0 10 0 0 140
Annual IC Time Burden (Hours) 150 0 10 0 0 140
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Home Page Screenshot Attachment 4B_ DPRP Web Site (screenshot).docx 09/18/2014
DPRP Confirmation Page Screenshot Attachment 4C Application Confirmation Pages (screenshots).docx 09/25/2014
DPRP Confirmation Email Attachment 4D Application Received Confirm Email.docx 09/25/2014
DPRP Application Acceptance Email Attachment 4E Application Accepted Notice.docx 09/25/2014
DPRP Application Rejection Email Attachment 4F Application Rejected Notice.docx 09/25/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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