Information Collection

Attachment 8 DDT MIS Add Longterm Objective Update Screen

IC 178772 under ICR 200702-0920-003 · OMB 0920-0479.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0479 can be found here:

Documents and Forms

Document Name Document Type
Attachment 8 DDT MIS Add Longterm Objective Update Screen Form
DDT MIS Add Longterm Objective Update Attachment 8 DDT MIS Add Longterm Objective Update.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Attachment 8 DDT MIS Add Longterm Objective Update Screen	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	None	DDT MIS Add Longterm Objective Update	Attachment 8 DDT MIS Add Longterm Objective Update.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 59	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	59	59
Annual IC Time Burden (Hours)	885	885
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.