PHHS Block Grant Management Information System (BG-MIS) Annual Report

Preventive Health and Health Services Block Grant

Attach 5A Annual Report Instrument

PHHS Block Grant Management Information System (BG-MIS) Annual Report

OMB: 0920-0106

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Attachment 5A: PHHS Block Grant Management Information System (BG-MIS) Annual Report




There are no changes to the information being collected.



Upon OMB approval, the OMB control information and the burden statement on the BG-MIS login screen will be updated as shown below:

(Note: the new expiration date is TBD)




Form Approved

OMB No. 0920-0106

Exp. Date: XX-XX-XXXX





Public reporting burden for this collection of information is estimated to average 15 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collected information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road, NE, MS D-74, Atlanta, Georgia 30333: ATTN: PRA (0920-0106).




PHHS Block Grant Management Information System (BG-MIS)

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File Typeapplication/msword
File TitlePHHS Block Grant Management Information System (BG-MIS)
Authorplb0
Last Modified Byarp5
File Modified2011-05-23
File Created2011-05-23

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