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Attachment 10 DDT MIS Add Resource Update Screen
Automated Management Information System (MIS) for Diabetes Prevention Control Programs
OMB: 0920-0479
IC ID: 178774
OMB.report
HHS/CDC
OMB 0920-0479
ICR 201003-0920-011
IC 178774
( )
Documents and Forms
Document Name
Document Type
Attachment 10 DDT MIS Add Resource Update Screen
Form
DDT MIS Add Resource Update
Attachment 10 DDT MIS Add Resource Update.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Attachment 10 DDT MIS Add Resource Update Screen
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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 Resource Update
Attachment 10 DDT MIS Add Resource Update.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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 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
0
0
-59
0
0
59
Annual IC Time Burden (Hours)
0
0
-590
0
0
590
Annual IC Cost Burden (Dollars)
0
0
0
0
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.