Information Collection Request

Performance Progress and Monitoring Report

ICR 202512-0920-002 · OMB 0920-1132 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
PPMR Instrument - Attachment F Form and Instruction Unchanged Repair queued
PPMR Instrument - Attachment E Form and Instruction Unchanged Repair queued
PPMR Instrument - Attachment D Form and Instruction Unchanged Repair queued
PPMR Instrument - Attachment C Form and Instruction Unchanged Available
PPMR Instrument - Attachment B Form and Instruction Unchanged Available
PPMR Instrument - Attachment A Form and Instruction Unchanged Repair queued
PPMR Instrument - Continuation Page Form and Instruction Unchanged Source copy available
Performance Progress and Monitoring Report (PPMR) Instrument - Main Form and Instruction Unchanged Available
NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F Form and Instruction Unchanged Repair queued
Form 0920-1132 PPMR-G_OFR Risk Questionnaire Form and Instruction Modified Available
Form 0920-1132 Performance Progress and Monitoring Report - Attachment G Form and Instruction Modified Available
Form 0920-1132 Health Impact Statement Template Form and Instruction Modified Available
Form 0920-1132 Evaluation Plan Template Form and Instruction Modified Available
Form 0920-1132 Performance Measure Template Form and Instruction Modified Available
Form 0920-1132 Work Plan and Progress Report Template Form and Instruction Modified Available
Form 0920-1132 Budget Template Form and Instruction Modified Available
PPMR Instrument - Attachment F Form and Instruction Modified Available
PPMR Instrument - Attachment E Form and Instruction Modified Available
PPMR Instrument - Attachment D Form and Instruction Modified Available
PPMR Instrument - Attachment C Form and Instruction Modified Available
PPMR Instrument - Attachment B Form and Instruction Modified Available
PPMR Instrument - Attachment A Form and Instruction Modified Available
PPMR Instrument - Continuation Page Form and Instruction Modified Available
Performance Progress and Monitoring Report (PPMR) Instrument - Main Form and Instruction Modified Available
Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction Modified Repair queued
SSA PPMR OCT2022_FINAL.docx Supporting Statement A Uploaded 2022-10-19 Repair queued
SSA PPMR OCT2022_FINAL.docx Supporting Statement A Uploaded 2022-10-19 Repair queued
2022-03080.pdf Supplementary Document Uploaded 2022-10-19 Repair queued
2022-03080.pdf Supplementary Document Uploaded 2022-10-19 Repair queued
SSB PPMR OCT2022_FINAL.docx Supporting Statement B Uploaded 2022-10-19 Repair queued
SSB PPMR OCT2022_FINAL.docx Supporting Statement B Uploaded 2022-10-19 Missing upstream
Non-research determination.docx Supplementary Document Uploaded 2019-08-27 Repair queued
Non-research determination.docx Supplementary Document Uploaded 2019-08-27 Repair queued
NSCR _Burden Hour Increase PPMR 26JUL2018.docx Justification for No Material/Nonsubstantive Change Uploaded 2018-08-21 Repair queued
NSCR _Burden Hour Increase PPMR 26JUL2018.docx Justification for No Material/Nonsubstantive Change Uploaded 2018-08-21 Repair queued
Change Request 0920-1132_07AUG2017.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-08-07 Repair queued
Change Request 0920-1132_07AUG2017.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-08-07 Repair queued
Change Request 0920-1132_02AUG2017_2.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-08-02 Repair queued
Change Request 0920-1132_02AUG2017_2.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-08-02 Repair queued
Change Request 0920-1132_31JAN2017_FINAL.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-01-31 Available
Change Request 0920-1132_31JAN2017_FINAL.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-01-31 Repair queued
Att. 2-Legislative Authority.pdf Supplementary Document Uploaded 2016-05-20 Available
Att. 2-Legislative Authority.pdf Supplementary Document Uploaded 2016-05-20 Repair queued
Att. 1-Legislative Authority.pdf Supplementary Document Uploaded 2016-05-20 Available
Att. 1-Legislative Authority.pdf Supplementary Document Uploaded 2016-05-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
232757 NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F Form and Instruction UnchangedPPMR Instrument - Attachment F
232757 NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F Form and Instruction UnchangedPPMR Instrument - Attachment E
232757 NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F Form and Instruction UnchangedPPMR Instrument - Attachment D
232757 NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F Form and Instruction UnchangedPPMR Instrument - Attachment C
232757 NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F Form and Instruction UnchangedPPMR Instrument - Attachment B
232757 NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F Form and Instruction UnchangedPPMR Instrument - Attachment A
232757 NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F Form and Instruction UnchangedPPMR Instrument - Continuation Page
232757 NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F Form and Instruction UnchangedPerformance Progress and Monitoring Report (PPMR) Instrument - Main
232757 NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F Form and Instruction Unchanged
225478 Performance Progress and Monitoring Report - Attachment G Form and Instruction ModifiedPPMR-G_OFR Risk Questionnaire
225478 Performance Progress and Monitoring Report - Attachment G Form and Instruction Modified
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedHealth Impact Statement Template
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedEvaluation Plan Template
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedPerformance Measure Template
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedWork Plan and Progress Report Template
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedBudget Template
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedPPMR Instrument - Attachment F
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedPPMR Instrument - Attachment E
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedPPMR Instrument - Attachment D
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedPPMR Instrument - Attachment C
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedPPMR Instrument - Attachment B
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedPPMR Instrument - Attachment A
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedPPMR Instrument - Continuation Page
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction ModifiedPerformance Progress and Monitoring Report (PPMR) Instrument - Main
221557 Performance Progress and Monitoring Report - All Attachments/Appendices Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2029 36 Months From Approved 03/31/2026
6,892 0 6,892
13,014 0 13,014
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F NA, NA, NA, NA, NA, NA, NA, NA ,   ,   ,   ,   ,   ,   ,  
Performance Progress and Monitoring Report - All Attachments/Appendices 0920-1132, 0920-1132, 0920-1132, 0920-1132, 0920-1132, NA, NA, NA, NA, NA, NA, NA, NA ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
Performance Progress and Monitoring Report - Attachment G 0920-1132

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,892 6,892 0 0 0 0
Annual Time Burden (Hours) 13,014 13,014 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No