Information Collection

PEPFAR Program Expenditures

IC 204522 under ICR 202401-1405-005 · OMB 1405-0208.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FY20 Expenditure Reporting Template DRAFT.xlsx datim.org	Other-Spreadsheet
FY20 Expenditure Reporting Template DRAFT.xlsx datim.org	Other-Spreadsheet

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Other-Spreadsheet				https://datim.org	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,045

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	Previously Approved
Annual Number of Responses for this IC	4,045	4,045
Annual IC Time Burden (Hours)	64,720	64,720
Annual IC Cost Burden (Dollars)	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.

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