Information Collection

Frontline staff rosters developed by AIM Team Leads

IC 237393 under ICR 201908-0935-001 · OMB 0935-0246.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0246 can be found here:

Documents and Forms

Document Name Document Type
Form A Frontline staff rosters developed by AIM Team Leads Form
A Frontline staff rosters developed by AIM Team Leads Attachment A - ROSTER of AIM Team Leads trained in hospitals.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Frontline staff rosters developed by AIM Team Leads	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	A	Frontline staff rosters developed by AIM Team Leads	Attachment A - ROSTER of AIM Team Leads trained in hospitals.docx		No		Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 258	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,548	1,548
Annual IC Time Burden (Hours)	124	124
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.