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Application for Training- National Laboratory Training Network Registration form (32.1)
Application for Training
OMB: 0920-0017
IC ID: 37715
OMB.report
HHS/CDC
OMB 0920-0017
ICR 200701-0920-001
IC 37715
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0017 can be found here:
2022-01-04 - Revision of a currently approved collection
2019-03-04 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form None assigned
Application for Training- National Laboratory Training Network Registration form (32.1)
Form
CDC 32.1 electroni Att. 2_National Laboratory Training Network-CDC 3
Attachment 2_321NLTN Dec06 RegForm Fin (electronic)i.pdf
Form
None assigned Att.1_National Laboratory Training Network-Paper
Attachment 1_appformforapproval (paper).doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Training- National Laboratory Training Network Registration form (32.1)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
None assigned
Att.1_National Laboratory Training Network-Paper
Attachment 1_appformforapproval (paper).doc
Yes
Yes
Printable Only
Form
CDC 32.1 electronic
Att. 2_National Laboratory Training Network-CDC 3
Attachment 2_321NLTN Dec06 RegForm Fin (electronic)i.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-01610-Records of Health Professionals in Disease Prevention and Control Training Programs
FR Citation:
41 FR 42485
Number of Respondents:
20,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
20,000
0
-25,525
0
0
45,525
Annual IC Time Burden (Hours)
1,667
0
-1,915
0
0
3,582
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.