NCHS Application for Vital Statistics Training Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0217 can be found here:

Documents and Forms

Document Name Document Type
Form CDC 64.52 NCHS Application for Vital Statistics Training Form Form and Instruction
CDC 64.52 Application for Training Attachment C Application Form version 3-19-07.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NCHS Application for Vital Statistics Training Form	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 and Instruction	CDC 64.52	Application for Training	Attachment C Application Form version 3-19-07.doc		Yes	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0163 Applicants for NCHS Technical Assistance	FR Citation: 51 FR 42368

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	100	-57	157
Annual IC Time Burden (Hours)	25	-19	44
Annual IC Cost Burden (Dollars)	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.