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Federal forms, ICRs, and supporting documents

Information Collection

NCCDPHP - Performance Measures for the Improving Adolescent Health and Well-Being

IC 272858 under ICR 202412-0920-010 · OMB 0920-1282.

Documents and Forms
Document Name
Document Type
Form
Form
Form
IC Document
IC Document
Information Collection (IC) Details

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NCCDPHP - Performance Measures for the Improving Adolescent Health and Well-Being 0920-25BS
 
Unchanged
 
Voluntary
 

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

Health Illness Prevention

 

61 0
   
Individuals or Households
 
   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

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.