Information Collection Request

Application for Training

ICR 202111-0920-020 · OMB 0920-0017 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
TCEO Proposal Form Modified Repair queued
CDC TRAIN Delayed Follow-up Evaluation Tool Form and Instruction New Missing upstream
CDC TRAIN Immediate Post-Course Evaluation Tool Form and Instruction New Repair queued
TCEO Follow-up Evaluation Form Modified Repair queued
TCEO Post-Course Evaluation Form Modified Repair queued
TCEO New Participant Registration Form Modified Repair queued
Application for Training PIA.pdf Supplementary Document Uploaded 2019-04-04 Missing upstream
Attachment 8 IRB Determination Letter.pdf Supplementary Document Uploaded 2019-02-21 Repair queued
Attachment 2. Published 60-Day FRN.pdf Supplementary Document Uploaded 2019-02-21 Repair queued
Attachment 1C_Section 243 Public Health Service Act.docx Supplementary Document Uploaded 2019-02-21 Repair queued
Attachment 1B_Section 295K Public Health Service Act.docx Supplementary Document Uploaded 2019-02-21 Repair queued
Attachment 1A_Section 295 Public Health Service Act.docx Supplementary Document Uploaded 2019-02-21 Repair queued
Supporting Statement B _2-6-2019.docx Supporting Statement B Uploaded 2019-02-21 Missing upstream
Supporting Statement A_2-6-2019.docx Supporting Statement A Uploaded 2019-02-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
37715 TCEO Proposal Form Modified
250802 CDC TRAIN Delayed Follow-up Evaluation Tool Form and Instruction New
250801 CDC TRAIN Immediate Post-Course Evaluation Tool Form and Instruction New
235024 TCEO Follow-up Evaluation Form Modified
235021 TCEO Post-Course Evaluation Form Modified
191980 TCEO New Participant Registration Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2022
2,280,130 640,120
288,150 85,934
14,026,955 3,968,106





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,280,130 640,120 0 1,640,010 0 0
Annual Time Burden (Hours) 288,150 85,934 0 202,216 0 0
Annual Cost Burden (Dollars) 14,026,955 3,968,106 0 10,058,849 0 0


Reginfo record details
  No