APPLICATION FOR TRAINING- CDC

ICR 198405-0920-005

OMB: 0920-0017

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
165648 Migrated
ICR Details
0920-0017 198405-0920-005
Historical Active 198404-0920-002
HHS/CDC
APPLICATION FOR TRAINING- CDC
No material or nonsubstantive change to a currently approved collection   No
Emergency 05/19/1984
Approved with change 05/19/1984
Retrieve Notice of Action (NOA) 05/19/1984
  Inventory as of this Action Requested Previously Approved
06/30/1984 06/30/1984 06/30/1984
7,500 0 7,000
1,250 0 1,167
0 0 0

THE APPLICATION FOR TRAINING IS THE OFFICIAL APPLICATION FORM USED FOR ALL TRAINING ACTIVITIES CONDUCTED BY THE CENTER FOR DISEASE CONTROL. THE INFORMATION REQUESTED ON THE FORM IS NECESSARY FOR THE ADMINISTRATIVE PROCESSING OF STUDENTS FOR COURSES AND ALSO FOR GENERATING MANAGEMENT STATISTIC REGARDING TRAINING.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR TRAINING- CDC CDC 0.759A,, B, C, CDC 0.759A, CDC 0.759B, CDC 0.759C

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,500 7,000 0 0 500 0
Annual Time Burden (Hours) 1,250 1,167 0 0 83 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/19/1984


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