Information Collection Request

Application for Training

ICR 201902-0920-016 · OMB 0920-0017 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
TCEO Proposal Form Modified Available
TCEO Follow-up Evaluation Form New Available
TCEO Post-Course Evaluation Form New Available
TCEO New Participant Registration Form Modified Available
Application for Training PIA.pdf Supplementary Document Uploaded 2019-04-04 Available
Attachment 8 IRB Determination Letter.pdf Supplementary Document Uploaded 2019-02-21 Available
Attachment 2. Published 60-Day FRN.pdf Supplementary Document Uploaded 2019-02-21 Available
Attachment 1C_Section 243 Public Health Service Act.docx Supplementary Document Uploaded 2019-02-21 Available
Attachment 1B_Section 295K Public Health Service Act.docx Supplementary Document Uploaded 2019-02-21 Available
Attachment 1A_Section 295 Public Health Service Act.docx Supplementary Document Uploaded 2019-02-21 Available
Supporting Statement B _2-6-2019.docx Supporting Statement B Uploaded 2019-02-21 Available
Supporting Statement A_2-6-2019.docx Supporting Statement A Uploaded 2019-02-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
37715 TCEO Proposal Form Modified
235024 TCEO Follow-up Evaluation Form New
235021 TCEO Post-Course Evaluation Form New
191980 TCEO New Participant Registration Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2022 36 Months From Approved 06/30/2019
640,120 0 200,120
85,934 0 17,267
3,968,106 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
TCEO Post-Course Evaluation none TCEO Post-course Evaluation
TCEO Follow-up Evaluation none TCEO Follow-up Evaluation
TCEO Proposal none TCEO Proposal
TCEO New Participant Registration none TCEO New Participant Registration

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 640,120 200,120 0 440,000 0 0
Annual Time Burden (Hours) 85,934 17,267 0 68,667 0 0
Annual Cost Burden (Dollars) 3,968,106 0 0 3,968,106 0 0


Reginfo record details
  No