OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Att 3b_Component 2: Core Viral Hepatitis Prevention Activities

IC 248657 under ICR 202403-0920-014 · OMB 0920-1353.

Documents and Forms
Document Name
Document Type
Form
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Att 3b_Component 2: Core Viral Hepatitis Prevention Activities 0920-1353
 
Yes Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1353 Component 2: Core Viral Hepatitis Prevention Activities Att 3b_Comp 2_APR_Form_rev.2024.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

59 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 59 0 0 0 0 59
Annual IC Time Burden (Hours) 69 0 10 0 0 59
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Annual Performance Report—Component 2--Form Instructions Year 3 Reporting Period (10/1/22-9/30/23) Att5b_Comp 2 Instructions.docx 03/22/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.