Information Collection

Annual Performance Report (APR) Tool

IC 265746 under ICR 202507-0920-011 · OMB 0920-1431.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-24AA Annual Performance Report (APR) Tool	Form
Form 0920-24AA Annual Performance Report (APR) Tool Annual Performance Report (APR) Tool	Form
0920-24AA Annual Performance Report (APR) Tool Att. 3 Annual Performance Report clean 072225.docx	Form
0920-24AA Annual Performance Report (APR) Tool Att. 3 Annual Performance Report clean 072225.docx	Form

IC Title:

Agency IC Tracking Number:

0920-24AA

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	0920-24AA				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 128

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	128	128
Annual IC Time Burden (Hours)	1,280	1,280
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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