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Application for Training
NCHS Application for Vital Statistics Training Form
OMB: 0920-0217
IC ID: 6685
OMB.report
HHS/CDC
OMB 0920-0217
ICR 201604-0920-003
IC 6685
( )
Documents and Forms
Document Name
Document Type
Application for Training
Form
NCH Vital Statistics Training Application
Attachment C 040516 clean.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Training
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
NCH Vital Statistics Training Application
Attachment C 040516 clean.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0163 Applicants for NCHS Technical Assistance
FR Citation:
51 FR 42368
Number of Respondents:
60
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
60
0
0
0
0
60
Annual IC Time Burden (Hours)
15
0
0
0
0
15
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
