Application for Training

Forms and Documents

Document Name	Status
Participant Information Form Form	Removed
Sup Sta B_0920-0017_App for Training_030713.docx Supporting Statement B	2013-03-12
attachment8_Pub_60DayFRN_)MB_0920-0017_App for Training_02-06-2013.pdf Supplementary Document	2013-03-12
Attachment7_WageInfo_HealthProfessionals_OMB_0920-0017_App for Training_02-06-2013.pdf Supplementary Document	2013-03-12
Attachment6_WageInfo_Laboratorians_OMB_0920-0017_App for Training_02-06-2013.pdf Supplementary Document	2013-03-12
Attachment5_ResearchMemo-signed_OMB_0920-0017_02-06-2013.pdf Supplementary Document	2013-03-12
Attachment2_ PrivacyAct_SORN_OMB_0920-0017_App for Training_02-06-2013.pdf Supplementary Document	2013-03-12
Attachment 1B_Auth Legisl_Title 42_S243_OMB 0920-0017_App for Training_02-05-2013.pdf Supplementary Document	2013-03-12
Attachment 1A_Auth Legisl_Title42_S295_OMB_0920-0017_02-05-2013.pdf Supplementary Document	2013-03-12
Sup Sta A_0920-0017_App for Training 041513_subm.docx Supporting Statement A	2013-04-23

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	Removed
37715	Application for Training - National Laboratory Training Network Registration form Other-pdf	Modified
195092	Participant Information Form Form	Removed
191980	Application for Training - CDC Training and Continuing Education New Participant Registration Form 36.5 Other-pdf	Modified

ICR Details

OMB Control No: 0920-0017	ICR Reference No: 201303-0920-009
Status: Historical Active	Previous ICR Reference No: 201102-0920-013
Agency/Subagency: HHS/CDC	Agency Tracking No: 19132
Title: Application for Training
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/13/2013
	Date Received in OIRA: 03/18/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	36 Months From Approved	05/31/2013
Responses	81,500	0	82,975
Time Burden (Hours)	6,792	0	6,915
Cost Burden (Dollars)	0	0	0

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Abstract: CDC/OSELS offers public health training activities to professionals in the U.S. and worldwide. Employees of hospitals, universities, medical centers, laboratories, state and federal agencies, and state and local health departments apply for training to learn up-to-date public health practices. Training activites include laboratory training, classroom study, online training, and distance learning. CDC/OSELS uses two training application forms, the Training and Continuing Education Online New Participant Registration Form and the National Laboratory Training Network Registration Form, to collect informaton necessary to manage and conduct training pertinent to the agency's mission. Keywords: training, continuing education, laboratory training.

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Authorizing Statute(s): US Code: 42 USC 792 (295k) Name of Law: Public Health Service Act
   US Code: 42 USC 243 Name of Law: Public Health and Welfare
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 71800	12/04/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 16269	03/14/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Application for Training - National Laboratory Training Network Registration form
Application for Training - CDC Training and Continuing Education New Participant Registration Form 36.5
Application for Training - CDC Training and Continuing Education New Participant Regstration Form (36.5) - Nurses
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	81,500	82,975	0	-1,475	0	0
Annual Time Burden (Hours)	6,792	6,915	0	-123	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: OSELS/SEPDPO is requesting an decrease in burden hours due to the demand for continuing education being requested electronically through the Training and Continuing Education Online.

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Annual Cost to Federal Government: $310,486

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 03/18/2013

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