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Annual Reporting Data Elements for RPE
Annual Reporting of the Rape Prevention and Education (RPE) Program: CE19-1902 Cooperative Agreement
OMB: 0920-1286
IC ID: 237591
OMB.report
HHS/CDC
OMB 0920-1286
ICR 201908-0920-011
IC 237591
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1286 can be found here:
2022-11-02 - Revision of a currently approved collection
2020-03-19 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-XXXX
Annual Reporting Data Elements for RPE
Form and Instruction
0920-XXXX Annual Reporting Data Elments for RPE
Att_3a_Annual_Reporting_Data_Elements_for_RPE_Word_Version.pdf
Form and Instruction
Att_3b_Annual_Reporting_Data_Elements_for_RPE_Screenshots.pdf
Att 3b_Annual Reparoting Data Elments for RPE (screenshots)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Reporting Data Elements for RPE
Agency IC Tracking Number:
0920-19BOL
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-XXXX
Annual Reporting Data Elments for RPE
Att_3a_Annual_Reporting_Data_Elements_for_RPE_Word_Version.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
55
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
55
0
55
0
0
0
Annual IC Time Burden (Hours)
220
0
220
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att 3b_Annual Reparoting Data Elments for RPE (screenshots)
Att_3b_Annual_Reporting_Data_Elements_for_RPE_Screenshots.pdf
08/29/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.