Information Collection

[OADPS] [PMP] A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes.

IC 267048 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-24EV [OADPS] [PMP] A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes.	Form
Form 0920-24EV [OADPS] [PMP] A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes.	Form
0920-24EV AppxA-A Performance Measure Guidance AppxA-A Performance Measure Guidance.docx	Form
0920-24EV AppxA-A Performance Measure Guidance AppxA-A Performance Measure Guidance.docx	Form
0920-24EV AppxB-B Performance Measure Guidance AppxB-B Performance Measure Guidance.docx	Form
0920-24EV AppxB-B Performance Measure Guidance AppxB-B Performance Measure Guidance.docx	Form
0920-24EV AppxC-C Performance Measure Guidance AppxC-C Performance Measure Guidance.docx	Form
0920-24EV AppxC-C Performance Measure Guidance AppxC-C Performance Measure Guidance.docx	Form
AppxG Email to recipients.docx AppxG Email to recipients	IC Document
AppxG Email to recipients.docx AppxG Email to recipients	IC Document
GenIC request.docx GenIC Request	IC Document
GenIC request.docx GenIC Request	IC Document
A-Data-Reporting-2024-2026.docx A-Data-Reporting-2024-2026	IC Document
A-Data-Reporting-2024-2026.docx A-Data-Reporting-2024-2026	IC Document
B-Data-Reporting-2024-2026.docx B-Data-Reporting-2024-2026	IC Document
B-Data-Reporting-2024-2026.docx B-Data-Reporting-2024-2026	IC Document
C-Data-Reporting-2024-2026.docx C-Data-Reporting-2024-2026	IC Document
C-Data-Reporting-2024-2026.docx C-Data-Reporting-2024-2026	IC Document

IC Title:

[OADPS] [PMP] A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes.

Agency IC Tracking Number:

0920-24EV

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-24EV	AppxA-A Performance Measure Guidance	AppxA-A Performance Measure Guidance.docx	Yes	Yes	Fillable Fileable
Form	0920-24EV	AppxB-B Performance Measure Guidance	AppxB-B Performance Measure Guidance.docx	Yes	Yes	Fillable Fileable
Form	0920-24EV	AppxC-C Performance Measure Guidance	AppxC-C Performance Measure Guidance.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 77

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	77	77
Annual IC Time Burden (Hours)	616	616
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
AppxG Email to recipients	AppxG Email to recipients.docx	04/19/2024
GenIC Request	GenIC request.docx	04/19/2024
A-Data-Reporting-2024-2026	A-Data-Reporting-2024-2026.docx	04/19/2024
B-Data-Reporting-2024-2026	B-Data-Reporting-2024-2026.docx	04/19/2024
C-Data-Reporting-2024-2026	C-Data-Reporting-2024-2026.docx	04/19/2024

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