Information Collection

Pre-Training Infection Prevention and Safety Assessment

IC 185566 under ICR 200807-0935-001 · OMB 0935-0144.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form #1 Pre-Training Infection Prevention and Safety Assessment	Form
Form #1 Pre-Training Infection Prevention and Safety Assessment Attachment B -- Pre-training Infection Prevention & Safety Assessment Instrument.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form #1	Pre-Training Infection Prevention and Safety Assessment	Attachment B -- Pre-training Infection Prevention & Safety Assessment Instrument.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 34

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	680	680
Annual IC Time Burden (Hours)	340	340
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.