Information Collection

ORWH Interprofessional Education Courses

IC 240786 under ICR 202010-0925-003 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 ORWH Interprofessional Education Courses	Form and Instruction
1 ORWH Registration Form ORWH_Registration Conference Form.docx	Form and Instruction
ORWH Course Registration Template.docx Conference Registration Template	IC Document

IC Title:

ORWH Interprofessional Education Courses

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	ORWH Registration Form	ORWH_Registration Conference Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Conference Registration Template	ORWH Course Registration Template.docx	03/18/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.