Information Collection

Public Health Improvement Trainings (PHIT) Assessment

IC 214216 under ICR 201402-0920-018 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.