Information Collection

Web-Based

IC 195903 under ICR 201101-0930-002 · OMB 0930-0322.

Documents and Forms

Document Name Document Type
Form Web-based training Web-Based Form and Instruction
Web-based training Web-based training material-instruments Web Based Training Materials-Instruments.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Web-Based	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	Web-based training material-instruments	Web-based training material-instruments	Web Based Training Materials-Instruments.pdf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,756	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,168	10,168
Annual IC Time Burden (Hours)	1,585	1,585
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.