OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

National Public Health Performance Standards Program Local Public Health System Performance Assessment

OMB 0920-0555 · HHS/CDC.

OMB 0920-0555

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Local Public Health System Performance Assessment Instrument Form and Instruction
SS_Part_B_5-28-2010.docx Supporting Statement B
Att D_PossibleResp for use of NPHPSP Instr.xls Supplementary Document
Att C_Work Group Members.doc Supplementary Document
Att B 60 dy FRN-Local.pdf Supplementary Document
Att A.pdf Supplementary Document
Att H_Screen Shots_Web Based System.docx Supplementary Document
Att G_ Data Entry Instructions_1007.docx Supplementary Document
Att F_Mtg Guide.doc Supplementary Document
Att E.4_Local Agency Contribution.pdf Supplementary Document
Att E.3_Local Priority.pdf Supplementary Document
Att E.2_Local RIF.pdf Supplementary Document
Supp Stmt Part_A (Revised-2).docx Supporting Statement A
Local Public Health System Performance Assessment Instrument Form and Instruction

All Historical Document Collections

201007-0920-008 Approved without change	Extension without change of a currently approved collection	2010-07-28
200706-0920-001 Approved without change	Revision of a currently approved collection	2007-06-11
200508-0920-006 Approved without change	Revision of a currently approved collection	2005-08-19
200205-0920-003 Approved with change	New collection (Request for a new OMB Control Number)	2002-05-10