Tracking attendance of facilitation sessions

Safety Program in Perinatal Care (SPPC)-II Demonstration Project

⚠️ Notice: This information collection may be referencing outdated material.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 I Tracking attendance of facilitation sessions Form and Instruction
I Tracking attendance of facilitation sessions Attachment I - Comprehensive List of clinical staff.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Tracking attendance of facilitation sessions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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 and Instruction	I	Tracking attendance of facilitation sessions	Attachment I - Comprehensive List of clinical staff.docx		Yes	Yes	Fillable Printable

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: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,032	1,032
Annual IC Time Burden (Hours)	1,032	1,032
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.