Information Collection

Performance Progress and Monitoring Report - All Attachments/Appendices

IC 221557 under ICR 201908-0920-008 · OMB 0920-1132.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1132 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Performance Progress and Monitoring Report - All Attachments/Appendices	Form and Instruction
Performance Progress and Monitoring Report (PPMR) Instru Draft PPMR Instrument.docx	Form and Instruction
PPMR Instrument - Continuation Page Draft PPMR-2.doc	Form and Instruction
PPMR Instrument - Attachment A Draft PPMR-A.docx	Form and Instruction
PPMR Instrument - Attachment B Draft PPMR-B.docx	Form and Instruction
PPMR Instrument - Attachment C Draft PPMR-C.docx	Form and Instruction
PPMR Instrument - Attachment D Draft PPMR-D.docx	Form and Instruction
PPMR Instrument - Attachment E Draft PPMR-E.docx	Form and Instruction
PPMR Instrument - Attachment F Draft PPMR-F.docx	Form and Instruction
0920-1132 Budget Template Att. 1a Budget Template.xlsx	Form and Instruction
0920-1132 Work Plan and Progress Report Template Att. 1b Work Plan and Progress Report Template.xlsx	Form and Instruction
0920-1132 Performance Measure Template Att. 1c Performance Measure Template.xlsx	Form and Instruction
0920-1132 Evaluation Plan Template Att. 1d Evaluation Plan Template.docx	Form and Instruction
0920-1132 Health Impact Statement Template Att. 1e Health Impact Statement Template.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Performance Progress and Monitoring Report - All Attachments/Appendices

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:

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	NA	Performance Progress and Monitoring Report (PPMR) Instrument - Main	Draft PPMR Instrument.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Continuation Page	Draft PPMR-2.doc	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment A	Draft PPMR-A.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment B	Draft PPMR-B.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment C	Draft PPMR-C.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment D	Draft PPMR-D.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment E	Draft PPMR-E.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	PPMR Instrument - Attachment F	Draft PPMR-F.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1132	Budget Template	Att. 1a Budget Template.xlsx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1132	Work Plan and Progress Report Template	Att. 1b Work Plan and Progress Report Template.xlsx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1132	Performance Measure Template	Att. 1c Performance Measure Template.xlsx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1132	Evaluation Plan Template	Att. 1d Evaluation Plan Template.docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1132	Health Impact Statement Template	Att. 1e Health Impact Statement Template.docx	NA	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,200	2,000	3,200
Annual IC Time Burden (Hours)	10,400	4,000	6,400
Annual IC Cost Burden (Dollars)	0	0	0

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.