Information Collection

ARRA CDC Performance Progress Report Form

IC 190825 under ICR 200909-0920-013 · OMB 0920-0830.

Documents and Forms

Document Name Document Type
Form No number ARRA CDC Performance Progress Report Form Form
No number ARRA CDC Performance Progress Report Form ATTACHMENT B_PPR Form.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ARRA CDC Performance Progress Report Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	No number	ARRA CDC Performance Progress Report Form	ATTACHMENT B_PPR Form.doc		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 559	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	2,236	2,236
Annual IC Time Burden (Hours)	11,676	11,676
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.