[NCSTLTPHIW] Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

ICR 202410-0920-015

OMB: 0920-0879

Federal Form Document

Forms and Documents

Document Name	Status
[PHIC/NCHHSTP] 2024 TB Training and Education Needs Assessment – The U.S.-affiliated Pacific Islands – Online Survey Form and Instruction	Unchanged
Form 0920-0879 [PHIC/NCEZID] Use and Acceptability of the Model Aquatic Health Code (2024) Form	Unchanged
Form 0920-0879 [PHIC] Assessing Funded Overdose Data to Action (OD2A) Grantee Implementation and Impacts of Stop Overdose Campaigns Form and Instruction	Unchanged
[PHIC] CDC Funded Recipient Experience Survey Form and Instruction	Unchanged
[PHIC] OT21-2103 Success Stories (2024-2026) Form and Instruction	Unchanged
Form 0920-0879 [PHIC/NCIRD] Pediatric Hepatitis-Adenovirus Case Control Evaluation, United States 2022-2026 (24CN) Form and Instruction	Unchanged
AttG4_SurveyExtensionEmail.docx Supplementary Document	2024-10-15
0920-0879 MAHC Change Request_10112024.docx Justification for No Material/Nonsubstantive Change	2024-10-15
Attachment B - Approved GenICs under 0920-0879.docx Supplementary Document	2023-06-20
Attachment C - 60 Day Federal Register Notice.pdf Supplementary Document	2023-06-20
Attachment A - Public Health Service Act.pdf Supplementary Document	2023-06-20
SSB 0920_0879 extension.docx Supporting Statement B	2023-06-20
SSA 0920_0879_06142023_updated.docx Supporting Statement A	2023-06-20

IC Document Collections

IC ID	Document Title	Status
269900	[PHIC/NCHHSTP] 2024 TB Training and Education Needs Assessment – The U.S.-affiliated Pacific Islands – Online Survey Form and Instruction	Unchanged
269705	[PHIC/NCEZID] Use and Acceptability of the Model Aquatic Health Code (2024) Form	Unchanged
268184	[PHIC] Assessing Funded Overdose Data to Action (OD2A) Grantee Implementation and Impacts of Stop Overdose Campaigns Form and Instruction	Unchanged
267334	[PHIC] CDC Funded Recipient Experience Survey Form and Instruction	Unchanged
266981	[PHIC] OT21-2103 Success Stories (2024-2026) Form and Instruction	Unchanged
264737	[PHIC/NCIRD] Pediatric Hepatitis-Adenovirus Case Control Evaluation, United States 2022-2026 (24CN) Form and Instruction	Unchanged