OMB
.report
Search
Componet 2 Reporting and Work Plans
[NCHHSTP] Promoting Adolescent Health through School-Based HIV/STD Prevention Reporting Template
OMB: 0920-1329
IC ID: 244062
OMB.report
HHS/CDC
OMB 0920-1329
ICR 202402-0920-013
IC 244062
( )
Documents and Forms
Document Name
Document Type
Form 0920-1329
Componet 2 Reporting and Work Plans
Form and Instruction
0920-1329 PS18-1807 Component 2 -Programmatic Reporting Template -
Att 4 Comp 2 - Programmatic Reporting Template - WorkPlan Status Report - Survey.docx
Form and Instruction
0920-1329 PS18-1807 Component 2 -Programmatic Reporting Template -
Att 4 Comp 2 - Programmatic Reporting Template - WorkPlan Status Report - Survey.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Componet 2 Reporting and Work Plans
Agency IC Tracking Number:
0920-1329
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
0920-1329
PS18-1807 Component 2 -Programmatic Reporting Template -Work Plan Status Report
Att 4 Comp 2 - Programmatic Reporting Template - WorkPlan Status Report - Survey.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
25
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
50
0
-50
0
0
100
Annual IC Time Burden (Hours)
700
0
-700
0
0
1,400
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.