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Program Performance Standards Self-assessment Instrument
PROGRAM PERFORMANCE STANDARDS SELF-ASSESSMENT INSTRUMENT
OMB: 0980-0037
IC ID: 116128
OMB.report
HHS/HDSO
OMB 0980-0037
ICR 198207-0980-003
IC 116128
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0037 can be found here:
1992-01-08 - Reinstatement with change of a previously approved collection
1989-04-07 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PROGRAM PERFORMANCE STANDARDS SELF-ASSESSMENT INSTRUMENT
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
169
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
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
169
0
3
0
0
166
Annual IC Time Burden (Hours)
507
0
9
0
0
498
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.