Environmental Public Health Tracking Work Plan Template

Environmental Public Health Tracking Network (Tracking Network)

OMB: 0920-1175

IC ID: 222650

Information Collection (IC) Details

View Information Collection (IC)

Environmental Public Health Tracking Work Plan Template
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Program Management Tool (New Awardees) Form Att5a_ProgramManagmentTool_Form.doc NA Yes Yes Fillable Fileable
Form and Instruction none Environmental Public Health Tracking Work Plan Template Att5a_Environmental Public Health Tracking Work Plan Template_2019_tracked changes.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

26 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 52 0 0 0 0 52
Annual IC Time Burden (Hours) 1,144 0 -416 0 0 1,560
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy