Information Collection

PRA Questions for CEN Groups

IC 260923 under ICR 202306-0915-006 · OMB 0915-0379.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PRA Questions for CEN Groups.docx	Instruction
PRA Questions for CEN Groups.docx	Instruction
BPHC Fast Track Memo FINAL.docx Fast Track Memo	IC Document
BPHC Fast Track Memo FINAL.docx Fast Track Memo	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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			PRA Questions for CEN Groups.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	320	320
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Memo	BPHC Fast Track Memo FINAL.docx	06/29/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.