Information Collection

[OADPS NCHHSTP] Enhancing STI and Sexual Health Clinic Infrastructure

IC 265143 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1282 [OADPS NCHHSTP] Enhancing STI and Sexual Health Clinic Infrastructure	Form and Instruction
Form 0920-1282 [OADPS NCHHSTP] Enhancing STI and Sexual Health Clinic Infrastructure	Form and Instruction
0920-1282 Enhancing STI and Sexual Health Clinic Infrastructure Da Data Reporting.xlsx	Form and Instruction
0920-1282 Enhancing STI and Sexual Health Clinic Infrastructure Da Data Reporting.xlsx	Form and Instruction
List of recipients.docx List of Recipients	IC Document
List of recipients.docx List of Recipients	IC Document
QCS Assessment.xlsx QCS Assessment	IC Document
QCS Assessment.xlsx QCS Assessment	IC Document
Recipient Email.docx Recipient Email	IC Document
Recipient Email.docx Recipient Email	IC Document
GenIC Request.pdf GenIC Request Template	IC Document
GenIC Request.pdf GenIC Request Template	IC Document

IC Title:

[OADPS NCHHSTP] Enhancing STI and Sexual Health Clinic Infrastructure

Agency IC Tracking Number:

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	0920-1282	Enhancing STI and Sexual Health Clinic Infrastructure Data Reporting	Data Reporting.xlsx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

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	104	104
Annual IC Time Burden (Hours)	2,392	2,392
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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