Information Collection

Application data for private-sector organizations

IC 199190 under ICR 202101-0920-014 · OMB 0920-0909.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0909 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0909 Application data for private-sector organizations Form and Instruction
0920-0909 DPRP Application Form Att 4 A Application for CDC Recognition Form_2021 DPRP Standards_11-30-20.pdf Form and Instruction
0920-0909 DPRP Application Form Att 4 A Application for CDC Recognition Form_2021 DPRP Standards_11-30-20.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application data for private-sector organizations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	0920-0909	DPRP Application Form	Att 4 A Application for CDC Recognition Form_2021 DPRP Standards_11-30-20.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 210	Number of Respondents for Small Entity: 158

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	210	-140	350
Annual IC Time Burden (Hours)	210	-140	350
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.