Information Collection

Training Interview Guide (Attachment C)

IC 209767 under ICR 202006-0915-003 · OMB 0915-0335.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0335 can be found here:

Documents and Forms

Document Name Document Type
Attachment C_Training Interview Guide.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Training Interview Guide (Attachment C)	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
Instruction			Attachment C_Training Interview Guide.docx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 64	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	96	78	18
Annual IC Time Burden (Hours)	120	102	18
Annual IC Cost Burden (Dollars)	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.