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Federal forms, ICRs, and supporting documents

Information Collection

Registration Form

IC 250068 under ICR 202110-0920-015 · OMB 0920-1370.

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Document Name
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Form
IC Document
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Information Collection (IC) Details

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Registration Form 0920-21EL
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920- National Learning Community for HIV CBO Leadership Registration Form Att 4_Registration Form.docx Yes Yes Fillable Fileable

Health Health Care Services

09-20-0161 Records of Health Professionals in Disease Prevention and Control Training Programs  83 FR 6591

270 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 270 0 270 0 0 0
Annual IC Time Burden (Hours) 14 0 14 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screenshots of National Learning Community for HIV CBO Leadership Registration Form Att 5_Screenshots of Registration Form.docx 11/03/2021
Email reminder_Registration Form (completion) Att 6_Email reminder for Registration Form.docx 11/03/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.