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Annual Reporting Data Elements
[NCIPC] Annual Reporting of the Rape Prevention and Education (RPE) Program: CE19-1902 Cooperative Agreement
OMB: 0920-1286
IC ID: 237592
OMB.report
HHS/CDC
OMB 0920-1286
ICR 202210-0920-001
IC 237592
( )
Documents and Forms
Document Name
Document Type
Att_3b_Annual_Reporting_Data_Elements_for_RPE_Screenshots_2023OMB.pdf
Other-Screenshots
Att_3b_Annual_Reporting_Data_Elements_for_RPE_Screenshots_2023OMB.pdf
Other-Screenshots
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Reporting Data Elements
Agency IC Tracking Number:
0920-1286
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Screenshots
Att_3b_Annual_Reporting_Data_Elements_for_RPE_Screenshots_2023OMB.pdf
Yes
Yes
Fillable Fileable
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:
53
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
106
0
-4
0
0
110
Annual IC Time Burden (Hours)
212
0
-8
0
0
220
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.