Information Collection

Community Based Organizations: NH&E Data Training

IC 205581 under ICR 201508-0920-003 · OMB 0920-0696.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0696 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attach5 Variables.pdf	Other-WORD
Attach6 A CDC Data Systems ROB System Users.pdf Attach6 A CDC Data Systems ROB System Users	IC Document
Attachment 6 B CDC Data Systems ROB Systems Administrators.pdf Attachment 6 B CDC Data Systems ROB Systems Administrators	IC Document

IC Title:

Community Based Organizations: NH&E Data Training

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-WORD			Attach5 Variables.pdf		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-400	400
Annual IC Time Burden (Hours)	-8,000	8,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attach6 A CDC Data Systems ROB System Users	Attach6 A CDC Data Systems ROB System Users.pdf	01/28/2013
Attachment 6 B CDC Data Systems ROB Systems Administrators	Attachment 6 B CDC Data Systems ROB Systems Administrators.pdf	01/28/2013

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