Information Collection

Programmatic Progress Report

IC 219387 under ICR 202505-0930-002 · OMB 0930-0354.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Programmatic Progr Programmatic Progress Report	Form and Instruction
Form Programmatic Progr Programmatic Progress Report Template Programmatic Progress Report	Form and Instruction
Programmatic Progr Programmatic Progress Report Template Attachment 1. Programmatic Progress Report Template 030325.docx	Form and Instruction
Programmatic Progr Programmatic Progress Report Template Attachment 1. Programmatic Progress Report Template 030325.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Programmatic Progress Report Template				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Programmatic Progress Report

FR Citation: 75 FR 28264

Number of Respondents: 657

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
	Approved	Previously Approved
Annual Number of Responses for this IC	657	657
Annual IC Time Burden (Hours)	2,628	2,628
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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