Information Collection

Performance Monitoring Questions

IC 267198 under ICR 202404-0920-007 · OMB 0920-1435.

Documents and Forms

Document Name Document Type
Performance Monitoring Questions Form and Instruction
Performance Monitoring Questions Att3_Data collection instrument_monitoring questions guide_RTIClean.docx Form and Instruction
Performance Monitoring Questions Att3_Data collection instrument_monitoring questions guide_RTIClean.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Performance Monitoring Questions	Agency IC Tracking Number:	0920-24CR

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	n/a	Performance Monitoring Questions	Att3_Data collection instrument_monitoring questions guide_RTIClean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	32	32
Annual IC Time Burden (Hours)	64	64
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.