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Preventive Health and Health Services Block Grant
Preventive Health and Health Services Block Grant
OMB: 0920-0106
IC ID: 6633
OMB.report
HHS/CDC
OMB 0920-0106
ICR 199710-0920-002
IC 6633
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0106 can be found here:
2024-01-30 - Revision of a currently approved collection
2020-09-14 - Revision of 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:
Preventive Health and Health Services Block Grant
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:
61
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
60 %
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
122
0
0
0
0
122
Annual IC Time Burden (Hours)
5,490
0
-1,830
0
0
7,320
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.