Information Collection

[NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)

IC 258123 under ICR 202505-0920-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
[NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)	Form and Instruction
PS20-2010 and PS20-2004 Indicators Reporting Tables [NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)	Form and Instruction
PS20-2010 and PS20-2004 Technical Specifications [NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)	Form and Instruction
PS20-2010 and PS20-2004 Indicators Reporting Tables Att 1_PS20-2010_PS20-2004 Indicators Reporting Tables 5-13-2021_DHAP_DSTDP_Final.xlsx	Form and Instruction
PS20-2010 and PS20-2004 Indicators Reporting Tables Att 1_PS20-2010_PS20-2004 Indicators Reporting Tables 5-13-2021_DHAP_DSTDP_Final.xlsx	Form and Instruction
PS20-2010 and PS20-2004 Technical Specifications Att 2_PS20-2010_PS20-2004 Technical Specifications 5-13-2021_DHAP_DSTDP_Final.xlsx	Form and Instruction
PS20-2010 and PS20-2004 Technical Specifications Att 2_PS20-2010_PS20-2004 Technical Specifications 5-13-2021_DHAP_DSTDP_Final.xlsx	Form and Instruction
PPEO GenIC RequestTemplate - PS20-2010_PS20-2004_2023-2025.docx GENIC Request Template: PS20-2010 and PS20-2004 (carryover 2023-2025)	IC Document
PPEO GenIC RequestTemplate - PS20-2010_PS20-2004_2023-2025.docx GENIC Request Template: PS20-2010 and PS20-2004 (carryover 2023-2025)	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCHHSTP] Centers for Disease Control and Prevention Ending the HIV Epidemic in the United States: Performance Measures (carryover to 2023-2025)

Agency IC Tracking Number:

0920-21EA

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None				Yes	Yes	Fillable Fileable
Form and Instruction	None				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: 183

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	366	366
Annual IC Time Burden (Hours)	7,980	7,980
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GENIC Request Template: PS20-2010 and PS20-2004 (carryover 2023-2025)		01/27/2023

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

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