Health Department Report - NHME

National HIV Prevention Program Monitoring and Evaluation (NHM&E)

OMB: 0920-0696

IC ID: 217850

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Health Department Report - NHME
 
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
Other-Data Elements Att 5A NHME Variables July 2018.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

66 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 132 0 -6 0 0 138
Annual IC Time Burden (Hours) 188,298 0 -1,728 0 0 190,026
Annual IC Cost Burden (Dollars) 5,114,174 0 5,114,174 0 0 0

Title Document Date Uploaded
Data Variable Options Att 5B NHME Variables Options July 2018.docx 08/20/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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