Information Collection

[ORR_PPEO] Performance Measure Specifications and Implementation Guidance: Codebook for Data Entry and Reporting

IC 272711 under ICR 202412-0920-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1282 State/Local/Territorial Freely Associated States Public Health Agency or Bonafide Agents - Performance Monitoring [ORR_PPEO] Performance Measure Specifications and Implementation Guidance: Codebook for Data Entry and Reporting	Form and Instruction
Form 0920-1282 State/Local/Territorial Freely Associated States Public Health Agency or Bonafide Agents - Performance Evaluation [ORR_PPEO] Performance Measure Specifications and Implementation Guidance: Codebook for Data Entry and Reporting	Form and Instruction
Form 0920-1282 State/Local/Territorial Freely Associated States Public Health Agency or Bonafide Agents - Training Survey and Technical Assistance Survey and Feedback [ORR_PPEO] Performance Measure Specifications and Implementation Guidance: Codebook for Data Entry and Reporting	Form and Instruction
0920-1282 State/Local/Territorial Freely Associated States Public ORR-PHEP TU-24-0137 Data Entry and Reporting Guide.docx	Form and Instruction
0920-1282 State/Local/Territorial Freely Associated States Public ORR-PHEP TU-24-0137 Data Entry and Reporting Guide.docx	Form and Instruction
0920-1282 State/Local/Territorial Freely Associated States Public ORR-PHEP TU-24-0137 Data Entry and Reporting Guide.docx	Form and Instruction
PEO GenIC Request_ORR-PHEP.pdf 0920-1282 GenIC Request Template	IC Document
ORR-PHEP email notification.docx ORR-PHEP Email Notification	IC Document

IC Title:

[ORR_PPEO] Performance Measure Specifications and Implementation Guidance: Codebook for Data Entry and Reporting

Agency IC Tracking Number:

0920-1282-25BA

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1282	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1282	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1282	N/A	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 186

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	186	186
Annual IC Time Burden (Hours)	3,168	3,168
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0920-1282 GenIC Request Template		11/29/2024
ORR-PHEP Email Notification		12/03/2024

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

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