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Federal forms, ICRs, and supporting documents

Information Collection

Performance Measures- Unique

IC 241554 under ICR 202503-0920-007 · OMB 0920-1175.

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

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Performance Measures- Unique 0920-1175
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1175 Performance Measurses - Unique Att5F Performance Measures (RedCap Form).pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

37 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 37 0 0 0 0 37
Annual IC Time Burden (Hours) 740 0 0 0 0 740
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Performance Measures - Unique Att5E Performance Measures Report.pdf 06/09/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.