Information Collection

Annual Progress Report Tool

IC 233035 under ICR 201809-0920-001 · OMB 0920-1247.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1247 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-18FO Annual Progress Report Tool	Form and Instruction
0920-18FO APR Tool Att. 3 APR Tool.docx	Form and Instruction

IC Title:

Annual Progress Report Tool

Agency IC Tracking Number:

0920-18FO

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	0920-18FO	APR Tool	Att. 3 APR Tool.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	3,586	3,586

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.