Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - State Local Tribal

Delta States Rural Development Network Program Measures

Documents and Forms

Document Name Document Type
Form 1 Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - State Local Tribal Form and Instruction
1 Performance Improvement Measurement System (PIMS) FINAL Delta States PIMS_2020-2023 Instrument.docx Form and Instruction
1 Performance Improvement Measurement System (PIMS) FINAL Delta States PIMS_2020-2023 Instrument.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - State Local Tribal	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	1	Performance Improvement Measurement System (PIMS)	FINAL Delta States PIMS_2020-2023 Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4	Number of Respondents for Small Entity: 4

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	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.