OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Prevention Infrastructure Assessment

IC 260626 under ICR 202507-0920-009 · OMB 0920-1412.

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

View Information Collection (IC)

Prevention Infrastructure Assessment
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-23AA Att. 5a Prevention Infrastructure Assessment Tool Updated Att. 5a Prevention Infrastructure Assessment Tool Updated.pdf Yes Yes Fillable Fileable
Form and Instruction 0920-1412 Prevention Infrastructure Assessment Tool - 11JUL2025 Att. 5a Prevention Infrastructure Assessment Tool EO clean.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

 

3 0
   
State, Local, and Tribal Governments
 
   0 %

  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 3 0 0 0 0 3
Annual IC Time Burden (Hours) 2 0 0 0 0 2
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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