Public Health Improvement Trainings (PHIT) Assessment

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Document Name Document Type
Public Health Improvement Trainings (PHIT) Assessment Form
Web instrument H_Instrument Web Version.docx Form
KHY1-PHIT-SSA.docx Supporting Statement Part A IC Document
KHY1-PHIT-SSB.docx Supporting Statement Part B IC Document
A_Training Analysis 2003-2014.pdf Training Analysis IC Document
B_Leveraging the Revised National Public Health Performance Standards.pdf Leveraging IC Document
C_PHIT 2014 Agenda.pdf PHIT Agenda IC Document
E_PHIT 2014 Assessment Report.docx PHIT Assessment Report IC Document
F_Executive Summary.docx Executive Summary IC Document
G_Instrument MS Word Version.docx Instrument Word Version IC Document
I_Notification Email.docx Notification Email IC Document
J_Reminder Email.docx Reminder Email IC Document
D_PHIT Assessment Form.docx Training Assessment 2014 IC Document

Information Collection (IC) Details

IC Title:	Public Health Improvement Trainings (PHIT) Assessment	Agency IC Tracking Number:	15CM

IC Status: New

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
Form	none	Web instrument	H_Instrument Web Version.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 165	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	165	165
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Part A	KHY1-PHIT-SSA.docx	12/10/2014
Supporting Statement Part B	KHY1-PHIT-SSB.docx	12/10/2014
Training Analysis	A_Training Analysis 2003-2014.pdf	12/10/2014
Leveraging	B_Leveraging the Revised National Public Health Performance Standards.pdf	12/10/2014
PHIT Agenda	C_PHIT 2014 Agenda.pdf	12/10/2014
PHIT Assessment Report	E_PHIT 2014 Assessment Report.docx	12/10/2014
Executive Summary	F_Executive Summary.docx	12/10/2014
Instrument Word Version	G_Instrument MS Word Version.docx	12/10/2014
Notification Email	I_Notification Email.docx	12/10/2014
Reminder Email	J_Reminder Email.docx	12/10/2014
Training Assessment 2014	D_PHIT Assessment Form.docx	12/10/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.