Participant Information Form

Application for Training

OMB: 0920-0017

IC ID: 195092

Information Collection (IC) Details

View Information Collection (IC)

Participant Information Form
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Participant Information Form Proposed PIF Form 2011 OMB.docx Yes No Paper Only

Health Public Health Monitoring

 

8,975 0
   
Individuals or Households
 
   0 %

  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 8,975 0 0 0 0 8,975
Annual IC Time Burden (Hours) 748 0 0 0 0 748
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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