Information Collection

Student Program Master Trainer Technical Assistance Tracking Form

IC 201415 under ICR 201512-0920-010 · OMB 0920-0941.

Documents and Forms

Document Name Document Type
STUDENT PROGRAM MASTER TRAINER TECHNICAL ASSISTANCE TRACKING FORM Form
Master Trainer TA Tracking Form Atmt_DDDD_Student_Program_Master_Trainer_TA_Track__Form-FINAL[1].docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	STUDENT PROGRAM MASTER TRAINER TECHNICAL ASSISTANCE TRACKING FORM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	Master Trainer TA Tracking Form	Atmt_DDDD_Student_Program_Master_Trainer_TA_Track__Form-FINAL[1].docx		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-600	600
Annual IC Time Burden (Hours)	-100	100
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.