Learning group registration

Capacity Building Assistance Program: Data Management, Monitoring, and Evaluation

Documents and Forms

Document Name Document Type
Learning group registration Form
Learning group registration Att 4_Learning Group Registration-Screenshots.pdf Form
noen Learning group registration - word Att 3_Learning Group Registration-Word version.docx Form

Information Collection (IC) Details

IC Title:	Learning group registration	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	none	Learning group registration	Att 4_Learning Group Registration-Screenshots.pdf		Yes	Yes	Fillable Fileable
Form	noen	Learning group registration - word	Att 3_Learning Group Registration-Word version.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Records of Health Professionals in Disease Prevention and Control Training Programs.	FR Citation: 51 FR 42485

Number of Respondents: 3,800	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: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,800	3,800
Annual IC Time Burden (Hours)	317	317
Annual IC Cost Burden (Dollars)	7,486	7,486

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.