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Evaluation and Performance Measuring Plan Template

IC 238168 under ICR 202508-0920-007 · OMB unassigned.

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

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Evaluation and Performance Measuring Plan Template 0920-1283
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1283 Evaluation and Performance Measuring Plan Template - Annual Reporting Attachment 3a_Evaluation and Performance Measuring Plan Template - Annual Reporting.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

66 0
   
State, Local, and Tribal Governments
 
   100 %

  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 66 0 0 0 0 66
Annual IC Time Burden (Hours) 264 0 0 0 0 264
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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