Information Collection

CRCCP Quarterly Program Update

IC 244537 under ICR 202404-0920-011 · OMB 0920-1074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1074 CRCCP Quarterly Program Update	Form
0920-1074 CRCCP Quarterly Program Update Attachment 6a - CRCCP Quarterly Program Update (screenshots).docx	Form
0920-1074 CRCCP Quarterly Program Update Attachment 6a - CRCCP Quarterly Program Update (screenshots).docx	Form
Attachment 6b - CRCCP Quarterly Program Update Pre-Administration Email.docx Attachment 6b - CRCCP Quarterly Program Update Pre-Administration Email	IC Document
Attachment 6b - CRCCP Quarterly Program Update Pre-Administration Email.docx Attachment 6b - CRCCP Quarterly Program Update Pre-Administration Email	IC Document
Attachment 6c - CRCCP Quarterly Program Update Administration Email.docx Attachment 6c - CRCCP Quarterly Program Update Administration Email	IC Document
Attachment 6c - CRCCP Quarterly Program Update Administration Email.docx Attachment 6c - CRCCP Quarterly Program Update Administration Email	IC Document
Attachment 6d - CRCCP Quarterly Program Update Reminder Email.docx Attachment 6d - CRCCP Quarterly Program Update Reminder Email	IC Document
Attachment 6d - CRCCP Quarterly Program Update Reminder Email.docx Attachment 6d - CRCCP Quarterly Program Update Reminder Email	IC Document

IC Title:

CRCCP Quarterly Program Update

Agency IC Tracking Number:

0920-1074

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	0920-1074	CRCCP Quarterly Program Update	Attachment 6a - CRCCP Quarterly Program Update (screenshots).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	140	140
Annual IC Time Burden (Hours)	51	51
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 6b - CRCCP Quarterly Program Update Pre-Administration Email	Attachment 6b - CRCCP Quarterly Program Update Pre-Administration Email.docx	05/07/2024
Attachment 6c - CRCCP Quarterly Program Update Administration Email	Attachment 6c - CRCCP Quarterly Program Update Administration Email.docx	05/07/2024
Attachment 6d - CRCCP Quarterly Program Update Reminder Email	Attachment 6d - CRCCP Quarterly Program Update Reminder Email.docx	05/07/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.