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[NCHHSTP] Performance Measurement for STD Prevention (carryover to 2023-2025)
[OADPS] The Performance Measures Project: Improving Performance Measurement and Monitoring by CDC Programs
OMB: 0920-1282
IC ID: 258148
OMB.report
HHS/CDC
OMB 0920-1282
ICR 202411-0920-003
IC 258148
( )
Documents and Forms
Document Name
Document Type
[NCHHSTP] Performance Measurement for STD Prevention (carryover to 2023-2025)
Form and Instruction
STD PCHD Performance Measurement
Att 1_Data Collection Tool_02242020.xlsx
Form and Instruction
STD PCHD Performance Measurement
Att 1_Data Collection Tool_02242020.xlsx
Form and Instruction
PPEO GenIC Template_PS19-1901_2023-2025.docx
GenIC Request Template STD Prevention PS19-1901 (carryover 2023-2025)
IC Document
PPEO GenIC Template_PS19-1901_2023-2025.docx
GenIC Request Template STD Prevention PS19-1901 (carryover 2023-2025)
IC Document
Att 2_Notification Email.v2.docx
Notification Email
IC Document
Att 2_Notification Email.v2.docx
Notification Email
IC Document
Att 3 STD PCHD Overview and Logic Model.pdf
Overview and Logic Model for PS19-1901 STD PCHD
IC Document
Att 3 STD PCHD Overview and Logic Model.pdf
Overview and Logic Model for PS19-1901 STD PCHD
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[NCHHSTP] Performance Measurement for STD Prevention (carryover to 2023-2025)
Agency IC Tracking Number:
0920-20KO
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
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
STD PCHD Performance Measurement
Att 1_Data Collection Tool_02242020.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:
177
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
177
0
0
0
0
177
Annual IC Time Burden (Hours)
5,310
0
0
0
0
5,310
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request Template STD Prevention PS19-1901 (carryover 2023-2025)
PPEO GenIC Template_PS19-1901_2023-2025.docx
01/30/2023
Notification Email
Att 2_Notification Email.v2.docx
01/30/2023
Overview and Logic Model for PS19-1901 STD PCHD
Att 3 STD PCHD Overview and Logic Model.pdf
01/30/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.