Performance Data: Quarterly Report Template

Implementation of an Internet & Paper-Based Uniform Data Set for OMH-funded Activities

OMB: 0990-0275

IC ID: 234241

Information Collection (IC) Details

View Information Collection (IC)

Performance Data: Quarterly Report Template
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-report 0990-0275 Copy of Performance Data Reporting_Template w PRA Language.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

100 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 400 0 -120 0 0 520
Annual IC Time Burden (Hours) 300 0 -90 0 0 390
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy