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Annual Progress Report (subset of Interim Progress questions)
[PHIC] Preventive Health and Health Services Block Grant
OMB: 0920-0106
IC ID: 264760
OMB.report
HHS/CDC
OMB 0920-0106
ICR 202503-0920-038
IC 264760
( )
Documents and Forms
Document Name
Document Type
Annual Progress Report (subset of Interim Progress questions)
Form and Instruction
Annual Progress Report Worksheet
Att G_Annual Progress Report Worksheet (Word Version).docx
Form and Instruction
Att H_Annual Progress Report Screenshots.docx
Annual Progress Report (screenshot)
IC Document
Information Collection (IC) Details
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