Private Sector - Semi-annual Reporting

Monitoring and Reporting System for the Division of Community Health's Cooperative Agreement Programs

Documents and Forms

Document Name Document Type
Private Sector - Semi-annual Reporting Form
DCH MIS Att3a_DCH-PMD Screen Shots_07 31 2017.docx Form

Information Collection (IC) Details

IC Title:	Private Sector - Semi-annual Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	DCH MIS	Att3a_DCH-PMD Screen Shots_07 31 2017.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 31	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: 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	62	-42	104
Annual IC Time Burden (Hours)	186	-126	312
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.