Information Collection

Evaluation of Physical Activity and Public Health Training Courses for Research and Practitioners

IC 206050 under ICR 201008-0920-003 · OMB 0920-0864.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 1a-PAPHC Telephone Interview for Faculty.doc	Other-WORD
Attachment 2a. Web Survey for Fellows.docx	Other-WORD
Attachment 3a. PAPHC Telephone Interview for Fellows.doc	Other-WORD
Attachment 1b-Supplementary Documents for 1a.doc Attachment 1b-Supplementary Documents for 1a	IC Document
Attachment 2b. Supplementary Documents for 2a.doc Attachment 2b	IC Document
Attachment 3b. Supplementary Documents for 3a.doc Attachment 3b	IC Document
Non-Research Determination from ADS.pdf Non-Research Determination from ADS	IC Document
GenIC 9_Part A_02 01 2013.doc GenIC 9_Part A_02 01 2013	IC Document
GenIC 9_Part B_02 01 2013.docx GenIC 9_Part B_02 01 2013	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD	Attachment 1a-PAPHC Telephone Interview for Faculty.doc	Yes	Yes	Printable Only
Other-WORD	Attachment 2a. Web Survey for Fellows.docx	Yes	Yes	Printable Only
Other-WORD	Attachment 3a. PAPHC Telephone Interview for Fellows.doc	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 555

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	555	0	0	0	0	0
Annual IC Time Burden (Hours)	108	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 1b-Supplementary Documents for 1a	Attachment 1b-Supplementary Documents for 1a.doc	02/27/2013
Attachment 2b	Attachment 2b. Supplementary Documents for 2a.doc	02/27/2013
Attachment 3b	Attachment 3b. Supplementary Documents for 3a.doc	02/27/2013
Non-Research Determination from ADS	Non-Research Determination from ADS.pdf	02/27/2013
GenIC 9_Part A_02 01 2013	GenIC 9_Part A_02 01 2013.doc	03/04/2013
GenIC 9_Part B_02 01 2013	GenIC 9_Part B_02 01 2013.docx	03/04/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.