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Federal forms, ICRs, and supporting documents

Information Collection

NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F

IC 232757 under ICR 202512-0920-002 · OMB 0920-1132.

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

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NHSS Award Recipients - Performance Progress and Monitoring Report - Attachment A-F 0920-1132
 
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 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

Health Consumer Health and Safety

 

60 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 60 0 0 0 0 60
Annual IC Time Burden (Hours) 2,478 0 0 0 0 2,478
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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