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[NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)
[OADPS] The Performance Measures Project: Improving Performance Measurement and Monitoring by CDC Programs
OMB: 0920-1282
IC ID: 258123
OMB.report
HHS/CDC
OMB 0920-1282
ICR 202411-0920-003
IC 258123
( )
Documents and Forms
Document Name
Document Type
[NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)
Form and Instruction
PS20-2010 and PS20-2004 Indicators Reporting Tables
Att 1_PS20-2010_PS20-2004 Indicators Reporting Tables 5-13-2021_DHAP_DSTDP_Final.xlsx
Form and Instruction
PS20-2010 and PS20-2004 Technical Specifications
Att 2_PS20-2010_PS20-2004 Technical Specifications 5-13-2021_DHAP_DSTDP_Final.xlsx
Form and Instruction
PPEO GenIC RequestTemplate - PS20-2010_PS20-2004_2023-2025.docx
GENIC Request Template: PS20-2010 and PS20-2004 (carryover 2023-2025)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)
Agency IC Tracking Number:
0920-21EA
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
None
PS20-2010 and PS20-2004 Indicators Reporting Tables
Att 1_PS20-2010_PS20-2004 Indicators Reporting Tables 5-13-2021_DHAP_DSTDP_Final.xlsx
Yes
Yes
Fillable Fileable
Form and Instruction
None
PS20-2010 and PS20-2004 Technical Specifications
Att 2_PS20-2010_PS20-2004 Technical Specifications 5-13-2021_DHAP_DSTDP_Final.xlsx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
183
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
366
0
0
0
0
366
Annual IC Time Burden (Hours)
7,980
0
0
0
0
7,980
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GENIC Request Template: PS20-2010 and PS20-2004 (carryover 2023-2025)
PPEO GenIC RequestTemplate - PS20-2010_PS20-2004_2023-2025.docx
01/27/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.