Application for Training

NCHS Application for Vital Statistics Training Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0217 can be found here:

Documents and Forms

Document Name Document Type
0217_Att C_Tng App.doc Other-WORD

Information Collection (IC) Details

IC Title:	Application for Training	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-WORD			0217_Att C_Tng App.doc		No	No	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0163 Applicants for NCHS Technical Assistance	FR Citation: 51 FR 42368

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	60	-40	100
Annual IC Time Burden (Hours)	15	-10	25
Annual IC Cost Burden (Dollars)	0	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.