Information Collection Request

Characterizing Ambulance Driver Training in EMS Systems

ICR 201602-2127-001 · OMB 2127-0724 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1331 State EMS Office Interview Form and Instruction New Available
Form 1318 Driver Training Assessment: EMS Agency Form New Available
AppendixF2-InvitationState.docx Supplementary Document Uploaded 2016-02-02 Available
AppendixF1-InvitationAgency.docx Supplementary Document Uploaded 2016-02-02 Available
AppendixE2-StateItemExplanation.docx Supplementary Document Uploaded 2016-02-02 Available
AppendixE1-AgencyItemExplanation.docx Supplementary Document Uploaded 2016-02-02 Available
AppendixC-30 Day Notice.pdf Supplementary Document Uploaded 2016-02-02 Repair queued
AppendixB-60 Day Notice.pdf Supplementary Document Uploaded 2016-02-02 Available
AppendixA-Authority.docx Supplementary Document Uploaded 2016-02-02 Available
Ambulance Driver Training ICR Section B.docx Supporting Statement B Uploaded 2016-02-02 Available
Ambulance Driver Training ICR Section A.docx Supporting Statement A Uploaded 2016-02-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
219932 State EMS Office Interview Form and Instruction New
219929 Driver Training Assessment: EMS Agency Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/29/2020 36 Months From Approved
8,153 0 0
2,153 0 0
70,154 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Driver Training Assessment: EMS Agency 1318 Driver Training Assessment: EMS Agency
State EMS Office Interview 1331 State EMS Office Interview

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,153 0 0 8,153 0 0
Annual Time Burden (Hours) 2,153 0 0 2,153 0 0
Annual Cost Burden (Dollars) 70,154 0 0 70,154 0 0


Reginfo record details
  No