Information Collection

CDC Work@Health Instructor/Coach Group Discussion Guide

IC 209594 under ICR 201410-0920-013 · OMB 0920-1006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1006 can be found here:

Documents and Forms

Document Name Document Type
Att I_Work@Health Instructor Discussion Guide.docx Other-WORD

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CDC Work@Health Instructor/Coach Group Discussion Guide	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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			Att I_Work@Health Instructor Discussion Guide.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title: 0920-0136 Epidemiologic Studies and Survelliance of DIsease Problems	FR Citation: 57 FR 62812

Number of Respondents: 21	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	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.