Information Collection

Annual Performance Report (APR) Tool

IC 265746 under ICR 202402-0920-009 · OMB 0920-1431.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1431 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-24AA Annual Performance Report (APR) Tool Form
0920-24AA Annual Performance Report (APR) Tool Att. 3 Annual Performance Report.pdf Form
0920-24AA Annual Performance Report (APR) Tool Att. 3 Annual Performance Report.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual Performance Report (APR) Tool	Agency IC Tracking Number:	0920-24AA

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-24AA	Annual Performance Report (APR) Tool	Att. 3 Annual Performance Report.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 128	Number of Respondents for Small Entity: 0

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	128	128
Annual IC Time Burden (Hours)	1,280	1,280
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.