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Quarterly Survey SSSP (PS22-2208)
[NCHHSTP] PS22-2208 Component 2 (Strengthening Syringe Services Programs) Program Evaluation
OMB:
IC ID: 266665
OMB.report
CDC
ICR 202404-0920-005
IC 266665
( )
Documents and Forms
Document Name
Document Type
Form 0920
Quarterly Survey SSSP (PS22-2208)
Form and Instruction
0920 Quarterly Survey SSSP (PS22-2208)
Attachment 5_NASTAD's Strengthening SSPs Quarterly Survey.docx
Form and Instruction
Attachment 3_NASTAD Quarter 1 Survey Invitation.pdf
NASTAD Quarter 1 Survey Invitation
IC Document
Attachment 7_Screenshots of Program Evaluation for PS22-2208 Component 2 Quarterly Survey.docx
NASTAD Strengthening SSPs Evaluation: Quarterly (screenshots)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Quarterly Survey SSSP (PS22-2208)
Agency IC Tracking Number:
0920-23HS
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920
Quarterly Survey SSSP (PS22-2208)
Attachment 5_NASTAD's Strengthening SSPs Quarterly Survey.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
200
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
600
0
600
0
0
0
Annual IC Time Burden (Hours)
150
0
150
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NASTAD Quarter 1 Survey Invitation
Attachment 3_NASTAD Quarter 1 Survey Invitation.pdf
05/02/2024
NASTAD Strengthening SSPs Evaluation: Quarterly (screenshots)
Attachment 7_Screenshots of Program Evaluation for PS22-2208 Component 2 Quarterly Survey.docx
05/02/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.