Information Collection

[OPHDST] Focus Groups to Provide Feedback on the FY 2024 Public Health Data Strategy Goals and Milestones

IC 263293 under ICR 202505-0920-006 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
[OPHDST] Focus Groups to Provide Feedback on the FY 2024 Public Health Data Strategy Goals and Milestones	Form and Instruction
Focus Group Interview Outline [OPHDST] Focus Groups to Provide Feedback on the FY 2024 Public Health Data Strategy Goals and Milestones	Form and Instruction
Focus Group Interview Outline Attachment A - PHDS FG PRA request_final.docx	Form and Instruction
Focus Group Interview Outline Attachment A - PHDS FG PRA request_final.docx	Form and Instruction
0920-1050 Customer Service GenIC PHDS 2.0 FGs 103023.docx GenIC Request Template	IC Document
0920-1050 Customer Service GenIC PHDS 2.0 FGs 103023.docx GenIC Request Template	IC Document
SSA_0920-1050_PHDS 2.0 FGs.docx SSA Summary Info	IC Document
SSA_0920-1050_PHDS 2.0 FGs.docx SSA Summary Info	IC Document

IC Title:

[OPHDST] Focus Groups to Provide Feedback on the FY 2024 Public Health Data Strategy Goals and Milestones

Agency IC Tracking Number:

0920-1050-24AV

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	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: 200

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	200	200
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request Template		11/09/2023
SSA Summary Info		11/09/2023

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].