Grantee Program staff-Tier 1 C/D and Ter 2/PREIS

ACYF Pregnancy Prevention Performance Measure Collection

OMB: 0990-0392

IC ID: 199779

Documents and Forms
Document Name
Document Type
Other-Performance Measure reporting
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Grantee Program staff-Tier 1 C/D and Ter 2/PREIS
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Performance Measure reporting form 0990-PM OMB ICR Instrument 4 Reporting Form CD Grantees 8-4.docx Yes Yes Fillable Printable

Health Illness Prevention

 

48 0
   
Individuals or Households
 
   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 0 0 -48 0 0 48
Annual IC Time Burden (Hours) 0 0 -1,008 0 0 1,008
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0990-0392 Appendix D Example of Evaluation Grantee Consent 5 1 2012 (2) 0990-0392 Appendix D Example of Evaluation Grantee Consent 5 1 2012 (2).doc 05/09/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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