PEPFAR Program Expenditures

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0208 can be found here:

Documents and Forms

Document Name Document Type
Form DS-4213 PEPFAR Program Expenditures Form and Instruction
DS-4213 PEPFAR PROMIS Screenshots PEPFAR PROMIS Screenshots (11-13).pdf www.pepfarpromis.net/promis Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PEPFAR Program Expenditures	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	DS-4213	PEPFAR PROMIS Screenshots	PEPFAR PROMIS Screenshots (11-13).pdf	https://www.pepfarpromis.net/promis	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,581	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,581	-2	1,583
Annual IC Time Burden (Hours)	37,944	-48	37,992
Annual IC Cost Burden (Dollars)	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.