Information Collection

Global Health COVID-19 Standard Indicators

IC 257095 under ICR 202306-0412-002 · OMB 0412-0621.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Global Health COVID-19 Standard Indicators.pdf	Instruction
Global Health COVID-19 Standard Indicators.pdf	Instruction
Proposed Collection Instrument.docx	Instruction
Proposed Collection Instrument.docx	Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Global Health COVID-19 Standard Indicators.pdf		Yes	Yes	Fillable Fileable
Instruction			Proposed Collection Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 46

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	184	20	164
Annual IC Time Burden (Hours)	15,272	1,660	13,612
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.