Information Collection Request

Performance Measures Project

ICR 201907-0920-007 · OMB 0920-1282 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Performance Measurement for STD Prevention (NCHHSTP, 2020-2022) Form New Repair queued
PPEO GenIC RequestTemplate- 01-13-20 final.docx Supplementary Document Uploaded 2020-01-13 Available
Attachment 7- PMP Research determination- 2 of 2.pdf Supplementary Document Uploaded 2019-07-25 Available
Attachment 6- PMP Research determination- 1 of 2.pdf Supplementary Document Uploaded 2019-07-25 Available
Attachment 3- Gen IC sample form - Reporting- 06-10-19- final.xlsx Supplementary Document Uploaded 2019-07-25 Available
Attachment 2- Gen IC sample form - Technical Specifications 06-10-19- final.xlsx Supplementary Document Uploaded 2019-07-25 Available
Attachment 5- Public Comments recieved from PMP 60 day FRN.docx Supplementary Document Uploaded 2019-07-25 Repair queued
Attachment 4 - 60 day FRN CDC Docket No CDC-2018-0118.pdf Supplementary Document Uploaded 2019-07-25 Available
Attachment 1- PMP authorizing legislation.docx Supplementary Document Uploaded 2019-07-25 Repair queued
SSB 7.25.19.docx Supporting Statement B Uploaded 2019-07-25 Available
Performance Measures Project OMB passback response- 01-13-20 final.docx Supporting Statement A Uploaded 2020-01-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
240063 Performance Measurement for STD Prevention (NCHHSTP, 2020-2022) Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2023 36 Months From Approved
2,625 0 0
105,000 0 0
3,923,850 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Performance Measurement for STD Prevention (NCHHSTP, 2020-2022) n/a STD PCHD Performance Measurement Tool

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,625 0 0 2,625 0 0
Annual Time Burden (Hours) 105,000 0 0 105,000 0 0
Annual Cost Burden (Dollars) 3,923,850 0 0 3,923,850 0 0


Reginfo record details
  No