Application for Training

Forms and Documents

Document Name	Status
Participant Information Form Form	Modified
Approved PIF Form 12_ 8_ 10 OMB_Reginfo.gov.docx Supplementary Document	2011-02-10
Justification for the modification 2011.docx Justification for No Material/Nonsubstantive Change	2011-02-10

IC Document Collections

IC ID	Document Title	Status
46689	Application for Training - CDC Training and Continuing Education New Participant Regstration Form (36.5) - Nurses Other-WORD	Modified
37715	Application for Training - National Laboratory Training Network Registration form (32.1) Other-WORD	Modified
195092	Participant Information Form Form	Modified
191980	Application for Training - CDC Training and Continuing Education New Participant Registration Form - Doctors Other-WORD	Modified

ICR Details

OMB Control No: 0920-0017	ICR Reference No: 201102-0920-013
Status: Historical Active	Previous ICR Reference No: 201011-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Application for Training
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/23/2011
	Date Received in OIRA: 02/22/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	03/31/2013	03/31/2013
Responses	82,975	0	82,975
Time Burden (Hours)	6,915	0	6,915
Cost Burden (Dollars)	0	0	0

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Abstract: The Centers for Disease Control and Prevention (CDC), through its Office of Workforce and Career Development (OWCD) and other centers, institutes, and offices, offers public health training activities including laboratory training, classroom study, online training, and distance-learning activities. This clearance package enables TSD to collect, process, and manage training registration data for laboratorians, physicians, and nurses.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Research and Investigations
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Application for Training - National Laboratory Training Network Registration form (32.1)
Application for Training - CDC Training and Continuing Education New Participant Regstration Form (36.5) - Nurses
Application for Training - CDC Training and Continuing Education New Participant Registration Form - Doctors
Participant Information Form	none	Participant Information Form

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ICR Summary 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	82,975	82,975	0	0	0	0
Annual Time Burden (Hours)	6,915	6,915	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $254,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/22/2011

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