Curriculum Development Centers - Application Forms

Information Technology Professionals in Health Care: Curriculum Development Centers

Documents and Forms

Document Name Document Type
Form 1 Curriculum Development Centers - Application Forms Form and Instruction
1 Curriculum Development Centers - Application Forms Curriculum Development Centers - Application Forms Ver1.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Curriculum Development Centers - Application Forms	Agency IC Tracking Number:

Is this a Common Form?		IC Status: New

Obligation to Respond: Mandatory

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	1	Curriculum Development Centers - Application Forms	Curriculum Development Centers - Application Forms Ver1.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	2,250	2,250
Annual IC Cost Burden (Dollars)	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.