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Application data for private-sector organizations
[NCCDPHP] CDC Diabetes Prevention Recognition Program (DPRP)
OMB: 0920-0909
IC ID: 199190
OMB.report
HHS/CDC
OMB 0920-0909
ICR 202404-0920-004
IC 199190
( )
Documents and Forms
Document Name
Document Type
Form 0920-0909
Application data for private-sector organizations
Form and Instruction
0920-0909 DPRP Application Form
Att 4A Application for CDC Recognition_2024 DPRP Standards_Final for ICRO_03-07-24.docx
Form and Instruction
0920-0909 DPRP Application Form
Att 4A Application for CDC Recognition_2024 DPRP Standards_Final for ICRO_03-07-24.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application data for private-sector organizations
Agency IC Tracking Number:
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
Form and Instruction
0920-0909
DPRP Application Form
Att 4A Application for CDC Recognition_2024 DPRP Standards_Final for ICRO_03-07-24.docx
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
120
Number of Respondents for Small Entity:
90
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
120
0
-90
0
0
210
Annual IC Time Burden (Hours)
120
0
-90
0
0
210
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.