Information Collection Request

Community College Consortia Program to Education Information Technology Professionals in Health Care

ICR 200911-0990-001 · OMB 0990-0350 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Community College HIT Consortium Application Form Form and Instruction New Available
3016 PRA Full Application -- Community Colleges ver5 11.24.2009.doc Supporting Statement A Uploaded 2009-11-24 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
191376 Community College HIT Consortium Application Form Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2010 6 Months From Approved
25 0 0
22,750 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Community College HIT Consortium Application Form 1 Community College HIT Consortium Application Form

table that charts list 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 25 0 0 25 0 0
Annual Time Burden (Hours) 22,750 0 0 22,750 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No