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Federal forms, ICRs, and supporting documents

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Annual Progress Report (subset of Interim Progress questions)

IC 264760 under ICR 202506-0920-003 · OMB 0920-0106.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
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Annual Progress Report (subset of Interim Progress questions) 0920-0106
 
Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Annual Progress Report Worksheet Att G_Annual Progress Report Worksheet (Word Version).docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

61 0
   
State, Local, and Tribal Governments
 
   100 %

  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) 427 0 0 0 0 427
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Annual Progress Report (screenshot) Att H_Annual Progress Report Screenshots.docx 01/29/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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