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[PHIC] OT21-2103 Success Stories (2024-2026)
[NCSTLTPHIW] Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery
OMB: 0920-0879
IC ID: 266981
OMB.report
HHS/CDC
OMB 0920-0879
ICR 202410-0920-015
IC 266981
( )
Documents and Forms
Document Name
Document Type
[PHIC] OT21-2103 Success Stories (2024-2026)
Form and Instruction
OT20-2103 Success Stories Form
Attachment B_ OT21-2103 Success Stories Form- REDCap_20240603.docx
Form and Instruction
Attachment A _ OT21-2103 Recipient List.docx
Recipient List
IC Document
Attachment B_ OT21-2103 Success Stories Form- REDCap.docx
OT20-2103 Success Stories Form - Screenshots
IC Document
Attachment D_ OT21-2103 Success Stories Guidance Document .docx
Guidance Document
IC Document
Attachment E_ OT21-2103 Success Stories Email Announcement & Invitation .docx
Email Announcement and Invitation
IC Document
Attachment F_ OT21-2103 Success Stories Reminder Message .docx
Reminder Email
IC Document
OT21-2103 Success Stories_ Supporting Statement A_final.docx
SSA
IC Document
OT21-2103 Success Stories_ Supporting Statement B_final.docx
SSB
IC Document
Information Collection (IC) Details
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