Evaluation data for private-sector organizations

CDC Diabetes Prevention Recognition Program (DPRP)

⚠️ Notice: This information collection may be referencing outdated material.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 Evaluation data for private-sector organizations Form and Instruction
0920-0909 Evaluation Data Form Att 4B DPRP Data Elements for Eval_2021 Standards_11-30-20.csv Form and Instruction
0920-0909 Evaluation Data Form Att 4B DPRP Data Elements for Eval_2021 Standards_11-30-20.csv Form and Instruction

Information Collection (IC) Details

IC Title:	Evaluation 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	Evaluation Data Form	Att 4B DPRP Data Elements for Eval_2021 Standards_11-30-20.csv	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,470	Number of Respondents for Small Entity: 1,103

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	2,940	52	2,888
Annual IC Time Burden (Hours)	5,880	104	5,776
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.