Information Collection Request

Section 3016 Information Technology Professionals in Health Care: Program of Assistance for University-Based Training

ICR 200912-0990-002 · OMB 0990-0352 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Program of Assistance for University-Based Training Form and Instruction New Available
ONC 3016 PRA Application for University-Based Training FOA v3 SSA.doc Supporting Statement A Uploaded 2009-12-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
191580 Program of Assistance for University-Based Training Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2010 05/31/2010
30 0 0
11,010 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Program of Assistance for University-Based Training 1 Program of Assistance for University-Based Training 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 30 0 30 0 0 0
Annual Time Burden (Hours) 11,010 0 11,010 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No