Recipient-Led Evaluation Reporting

National Evaluation of the DP18-1815 Cooperative Agreement Program: Category A, Diabetes Management and Type 2 Diabetes Prevention

OMB: 0920-1312

IC ID: 241400

Documents and Forms
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Recipient-Led Evaluation Reporting
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Category A Recipient-Led Annual Evaluation Report Att 5b. 1815 Cat A Eval Report Tool_30Day.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

51 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 51 0 51 0 0 0
Annual IC Time Burden (Hours) 408 0 408 0 0 0
Annual IC Cost Burden (Dollars) 17,952 0 17,952 0 0 0

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