Information Collection

[NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)

IC 258123 under ICR 202406-0920-007 · OMB 0920-1282.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1282 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
[NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)	Form and Instruction
[NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)	Form and Instruction
PS20-2010 and PS20-2004 Indicators Reporting Tables Att 1_PS20-2010_PS20-2004 Indicators Reporting Tables 5-13-2021_DHAP_DSTDP_Final.xlsx	Form and Instruction
PS20-2010 and PS20-2004 Indicators Reporting Tables Att 1_PS20-2010_PS20-2004 Indicators Reporting Tables 5-13-2021_DHAP_DSTDP_Final.xlsx	Form and Instruction
PS20-2010 and PS20-2004 Technical Specifications Att 2_PS20-2010_PS20-2004 Technical Specifications 5-13-2021_DHAP_DSTDP_Final.xlsx	Form and Instruction
PS20-2010 and PS20-2004 Technical Specifications Att 2_PS20-2010_PS20-2004 Technical Specifications 5-13-2021_DHAP_DSTDP_Final.xlsx	Form and Instruction
PPEO GenIC RequestTemplate - PS20-2010_PS20-2004_2023-2025.docx GENIC Request Template: PS20-2010 and PS20-2004 (carryover 2023-2025)	IC Document
PPEO GenIC RequestTemplate - PS20-2010_PS20-2004_2023-2025.docx GENIC Request Template: PS20-2010 and PS20-2004 (carryover 2023-2025)	IC Document

IC Title:

[NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)

Agency IC Tracking Number:

0920-21EA

IC Status: Unchanged

Obligation to Respond: Voluntary

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 and Instruction	None	PS20-2010 and PS20-2004 Indicators Reporting Tables	Att 1_PS20-2010_PS20-2004 Indicators Reporting Tables 5-13-2021_DHAP_DSTDP_Final.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	None	PS20-2010 and PS20-2004 Technical Specifications	Att 2_PS20-2010_PS20-2004 Technical Specifications 5-13-2021_DHAP_DSTDP_Final.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 183

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	366	366
Annual IC Time Burden (Hours)	7,980	7,980
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GENIC Request Template: PS20-2010 and PS20-2004 (carryover 2023-2025)	PPEO GenIC RequestTemplate - PS20-2010_PS20-2004_2023-2025.docx	01/27/2023

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