Information Collection

[OADPS / NCSTLTPHIW] Performance Measures for Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems Grant OE22-2203 (2023-2025)

IC 260704 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⚠️ Notice: This information collection may be referencing outdated material.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
[OADPS / NCSTLTPHIW] Performance Measures for Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems Grant OE22-2203 (2023-2025)	Form and Instruction
[OADPS / NCSTLTPHIW] Performance Measures for Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems Grant OE22-2203 (2023-2025)	Form and Instruction
Appendix A. Component A Recipient Performance Measures Guidance.pdf	Other-Performance Measure Guidance a
Appendix A. Component A Recipient Performance Measures Guidance.pdf	Other-Performance Measure Guidance a
Screenshots of Performance Measure Reporting for OE22-22 Appendix B. Screenshots of Component A Recipient Performance Measures.pdf	Form and Instruction
Screenshots of Performance Measure Reporting for OE22-22 Appendix B. Screenshots of Component A Recipient Performance Measures.pdf	Form and Instruction
PHIG GenIC Request.pdf GENIC Template with Brief Project Description and Burden Estimate (OE22-2203 Component A)	IC Document
PHIG GenIC Request.pdf GENIC Template with Brief Project Description and Burden Estimate (OE22-2203 Component A)	IC Document
Appendix C. Notification Email.docx Notification Email	IC Document
Appendix C. Notification Email.docx Notification Email	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[OADPS / NCSTLTPHIW] Performance Measures for Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems Grant OE22-2203 (2023-2025)

Agency IC Tracking Number:

0920-1282-23FF

IC Status: Unchanged

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 and Instruction	None	Screenshots of Performance Measure Reporting for OE22-2203 Component A	Appendix B. Screenshots of Component A Recipient Performance Measures.pdf		Yes	Yes	Fillable Fileable
Other-Performance Measure Guidance and Instructions for OE22-2203 Component A			Appendix A. Component A Recipient Performance Measures Guidance.pdf		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: 963

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
	Requested	Previously Approved
Annual Number of Responses for this IC	963	963
Annual IC Time Burden (Hours)	43,014	43,014
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GENIC Template with Brief Project Description and Burden Estimate (OE22-2203 Component A)	PHIG GenIC Request.pdf	06/16/2023
Notification Email	Appendix C. Notification Email.docx	06/16/2023

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