Application for Training

Forms and Documents

Document Name	Status
Form CDC 36.5 Application for Training - CDC Training and Continuing Education New Participant Regstration Form (36.5) Form	New
Form None assigned Application for Training- National Laboratory Training Network Registration form (32.1) Form	Modified
Attachment 7_NCHEC - Job Seekers.htm Supplementary Document	2007-01-12
Attachment 5_60-Day.pdf Supplementary Document	2007-01-12
Attachment 4_Privacy Act System Notice 09.doc Supplementary Document	2007-01-12
Part1Worksheet - Attachment A Abstract.doc Supplementary Document	2007-01-12
Supporting Statement 11-9-2006.doc Supporting Statement A	2007-01-12

IC Document Collections

IC ID	Document Title	Status
46689	Application for Training - CDC Training and Continuing Education New Participant Regstration Form (36.5) Form	New
37715	Application for Training- National Laboratory Training Network Registration form (32.1) Form	Modified

ICR Details

OMB Control No: 0920-0017	ICR Reference No: 200701-0920-001
Status: Historical Active	Previous ICR Reference No: 200602-0920-011
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Application for Training
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/14/2007
	Date Received in OIRA: 01/12/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2010	36 Months From Approved	03/31/2007
Responses	40,000	0	45,525
Time Burden (Hours)	3,334	0	3,582
Cost Burden (Dollars)	0	0	0

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Abstract: CDC through its Public Health Practice Program Office offers training activities on public health topics to professionals worldwide. Employees of hospitals, universities, medical centers, laboratories, state and federal agencies, and state and local health departments apply for traiing in an effort to learn up-to-date public health practices. CDC's training activities include laboratory training, classroom study, and distance learning activities. The "Application for Training" and "Registration for Training and Continuing Education" are the official application forms used for all training activities..

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Research and Investigations
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 37582	06/30/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 71173	12/08/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Application for Training- National Laboratory Training Network Registration form (32.1)	None assigned, CDC 32.1 electronic	Att.1_National Laboratory Training Network-Paper ,   Att. 2_National Laboratory Training Network-CDC 3
Application for Training - CDC Training and Continuing Education New Participant Regstration Form (36.5)	CDC 36.5	Att. 3_New Participant Registration Form

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ICR Summary of Burden

	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	40,000	45,525	0	-5,525	0	0
Annual Time Burden (Hours)	3,334	3,582	0	-248	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The decrease is a combination of fewer respondents and more streamlined electronic forms, and a decrease in the amount of time required from 8 to 5 minutes to complete the forms. Also, there has been a loss of the number of respondents/students due to a slight decrease in the number of course offerings.

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Annual Cost to Federal Government: $243,600

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/12/2007

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