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CSP Annual Progress Report
[NCIPC] Performance Monitoring of CDC’s Comprehensive Suicide Prevention Program
OMB: 0920-1368
IC ID: 251126
OMB.report
HHS/CDC
OMB 0920-1368
ICR 202509-0920-002
IC 251126
( )
Documents and Forms
Document Name
Document Type
CSP Annual Progress Report
Form and Instruction
Annual Progress Report
Att D 0920-1368 CSP Partners Portal 2025_final.docx
Form and Instruction
Att D1 0920-1368 CSP Screenshots.docx
CSP 2020 Annual Progress Report (screenshots)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CSP Annual Progress Report
Agency IC Tracking Number:
0920-1368
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
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
n/a
Annual Progress Report
Att D 0920-1368 CSP Partners Portal 2025_final.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
24
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
24
0
0
0
0
24
Annual IC Time Burden (Hours)
288
0
0
0
0
288
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CSP 2020 Annual Progress Report (screenshots)
Att D1 0920-1368 CSP Screenshots.docx
09/11/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.