Information Collection

Application for Training - CDC Training and Continuing Education New Participant Registration Form - Doctors

IC 191980 under ICR 201102-0920-013 · OMB 0920-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 3 - CDC TCEOnline Registration Form CDC 36.5_ElectronicForm.pdf	Other-WORD

IC Title:

Application for Training - CDC Training and Continuing Education New Participant Registration Form - Doctors

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Attachment 3 - CDC TCEOnline Registration Form CDC 36.5_ElectronicForm.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-01610-Records of Health Professionals in Disease Prevention and Control Training Programs

FR Citation: 51 FR 42485

Number of Respondents: 12,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	12,000	12,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.