OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Performance Progress and Monitoring Report - All Attachments/Appendices

IC 221557 under ICR 202512-0920-002 · OMB 0920-1132.

Documents and Forms
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Information Collection (IC) Details

View Information Collection (IC)

Performance Progress and Monitoring Report - All Attachments/Appendices 0920-1132
 
No Modified
 
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 NA Performance Progress and Monitoring Report (PPMR) Instrument - Main Draft PPMR Instrument.docx NA Yes Yes Fillable Fileable
Form and Instruction NA PPMR Instrument - Continuation Page Draft PPMR-2.doc NA Yes Yes Fillable Fileable
Form and Instruction NA PPMR Instrument - Attachment A Draft PPMR-A.docx NA Yes Yes Fillable Fileable
Form and Instruction NA PPMR Instrument - Attachment B Draft PPMR-B.docx NA Yes Yes Fillable Fileable
Form and Instruction NA PPMR Instrument - Attachment C Draft PPMR-C.docx NA Yes Yes Fillable Fileable
Form and Instruction NA PPMR Instrument - Attachment D Draft PPMR-D.docx NA Yes Yes Fillable Fileable
Form and Instruction NA PPMR Instrument - Attachment E Draft PPMR-E.docx NA Yes Yes Fillable Fileable
Form and Instruction NA PPMR Instrument - Attachment F Draft PPMR-F.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1132 Budget Template Att. 1a Budget Template.xlsx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1132 Work Plan and Progress Report Template Att. 1b Work Plan and Progress Report Template.xlsx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1132 Performance Measure Template Att. 1c Performance Measure Template.xlsx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1132 Evaluation Plan Template Att. 1d Evaluation Plan Template.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1132 Health Impact Statement Template Att. 1e Health Impact Statement Template.docx NA Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

5,200 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 5,200 0 0 0 0 5,200
Annual IC Time Burden (Hours) 10,400 0 0 0 0 10,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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