OMB control number

Monitoring and Reporting System for the State Public Health Actions Cooperative Agreements

OMB 0920-1059 · HHS/CDC.

OMB 0920-1059

Latest Forms, Documents, and Supporting Material

Document Name
Enhanced Awardees Annual Evaluation Plan Form
Enhanced Awardees Annual Budget Form
Enhanced Awardees Annual Workplan Form
Enhanced Awardees Initial Evaluation Form
Enhanced Awardees Initial Budget Form
Enhanced Awardees Initial Workplan Form
Basic Awardees Annual Evaluation Plan Form
Basic Awardees Annual Budget Form
Basic Awardees Annual Work Plan Form
Basic Awardees Initial Evaluation Plan Form
Basic Awardees Initial Budget Form
Basic Awardees Initial Work Plan Form
Att 1c. PHSA_Research and Investigation.doc Supplementary Document
Att 1a. PHSA_Preventive Health Services.pdf Supplementary Document
Att 1b. ACA_PPHF.pdf Supplementary Document
Att 4e. Screen Shots of FTP Site.docx Supplementary Document
Att 3b. Summary of Public Comments.doc Supplementary Document
Att 3a. 60-day FRN 11 25 2013.pdf Supplementary Document
Att 2. List of awardees.docx Supplementary Document
SS Part B_10 29 2014.docx Supporting Statement B
SS Part A_10 29 2014.docx Supporting Statement A
Enhanced Awardees Annual Evaluation Plan Form
Enhanced Awardees Annual Budget Form
Enhanced Awardees Annual Workplan Form
Enhanced Awardees Initial Evaluation Form
Enhanced Awardees Initial Budget Form
Enhanced Awardees Initial Workplan Form
Basic Awardees Annual Evaluation Plan Form
Basic Awardees Annual Budget Form
Basic Awardees Annual Work Plan Form
Basic Awardees Initial Evaluation Plan Form
Basic Awardees Initial Budget Form
Basic Awardees Initial Work Plan Form

All Historical Document Collections

201411-0920-001

2014-11-14