[PHIC] PHHS Block Grant and PHIG Listening Sessions (2024)

[OADC] CDC Usability and Digital Content Testing

Documents and Forms

Document Name Document Type
Form 0920-1050 [PHIC] PHHS Block Grant and PHIG Listening Sessions (2024) Form and Instruction
0920-1050 Guiding Questions for the PHHS Block Grant and PHIG List Att A_PHHSBG PHIG Questions.docx Form and Instruction
0920-1050_PHIC_Listening Sessions 2024 08 16.docx 0920-1050 GenIC Request Template IC Document

Information Collection (IC) Details

IC Title:	[PHIC] PHHS Block Grant and PHIG Listening Sessions (2024)	Agency IC Tracking Number:	0920-1050

IC Status: Unchanged

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	0920-1050	Guiding Questions for the PHHS Block Grant and PHIG Listening Session	Att A_PHHSBG PHIG Questions.docx	N/A	No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 58	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	58	58
Annual IC Time Burden (Hours)	87	87
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0920-1050 GenIC Request Template	0920-1050_PHIC_Listening Sessions 2024 08 16.docx	08/16/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.