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NCCDPHP - Performance Measures for the Improving Adolescent Health and Well-Being
[OADPS] The Performance Measures Project: Improving Performance Measurement and Monitoring by CDC Programs
OMB: 0920-1282
IC ID: 272858
OMB.report
HHS/CDC
OMB 0920-1282
ICR 202412-0920-010
IC 272858
( )
Documents and Forms
Document Name
Document Type
Form 0920-25BS
NCCDPHP - Performance Measures for the Improving Adolescent Health and Well-Being
Form
0920-25BS NCCDPHP_DASH_Component1_Guidance
NCCDPHP_DASH_Component1_Guidance.pdf
Form
0920-25BS NCCDPHP_DASH_Component3_Guidance
NCCDPHP_DASH_Component3_Guidance.pdf
Form
NCCDPHP_DASH_GenIC_RequestPMP.pdf
NCCDPHP_DASH_GenIC_RequestPMP
IC Document
NCCDPHP_DASH_Recipient Email_Comp1&3.pdf
NCCDPHP_DASH_Recipient Email_Comp1&3
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NCCDPHP - Performance Measures for the Improving Adolescent Health and Well-Being
Agency IC Tracking Number:
0920-25BS
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
0920-25BS
NCCDPHP_DASH_Component1_Guidance
NCCDPHP_DASH_Component1_Guidance.pdf
Yes
Yes
Fillable Fileable
Form
0920-25BS
NCCDPHP_DASH_Component3_Guidance
NCCDPHP_DASH_Component3_Guidance.pdf
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:
61
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
61
0
0
0
0
61
Annual IC Time Burden (Hours)
5,913
0
0
0
0
5,913
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NCCDPHP_DASH_GenIC_RequestPMP
NCCDPHP_DASH_GenIC_RequestPMP.pdf
12/09/2024
NCCDPHP_DASH_Recipient Email_Comp1&3
NCCDPHP_DASH_Recipient Email_Comp1&3.pdf
12/09/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.