Information Collection Request

Application for Training

ICR 202111-0920-020 · OMB 0920-0017 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
TCEO Proposal Form Modified Repair queued
TCEO Proposal Form Modified Repair queued
CDC TRAIN Delayed Follow-Up Evaluation Tool Form and Instruction New Repair queued
CDC TRAIN Delayed Follow-up Evaluation Tool Form and Instruction New Repair queued
CDC TRAIN Immediate Post-Course Evaluation Tool Form and Instruction New Repair queued
CDC TRAIN Immediate Post-Course Evaluation Tool Form and Instruction New Repair queued
TCEO Follow-up Evaluation Form Modified Repair queued
TCEO Follow-up Evaluation Form Modified Repair queued
TCEO Post-course Evaluation Form Modified Repair queued
TCEO Post-Course Evaluation Form Modified Repair queued
TCEO New Participant Registration Form Modified Repair queued
TCEO New Participant Registration Form Modified Available
Application for Training PIA.pdf Supplementary Document Uploaded 2019-04-04 Repair queued
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 Repair queued
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 ModifiedTCEO Proposal
37715 TCEO Proposal Form Modified
250802 CDC TRAIN Delayed Follow-up Evaluation Tool Form and Instruction NewCDC TRAIN Delayed Follow-Up Evaluation Tool
250802 CDC TRAIN Delayed Follow-up Evaluation Tool Form and Instruction New
250801 CDC TRAIN Immediate Post-Course Evaluation Tool Form and Instruction NewCDC TRAIN Immediate Post-Course Evaluation Tool
250801 CDC TRAIN Immediate Post-Course Evaluation Tool Form and Instruction New
235024 TCEO Follow-up Evaluation Form ModifiedTCEO Follow-up Evaluation
235024 TCEO Follow-up Evaluation Form Modified
235021 TCEO Post-Course Evaluation Form ModifiedTCEO Post-course Evaluation
235021 TCEO Post-Course Evaluation Form Modified
191980 TCEO New Participant Registration Form ModifiedTCEO New Participant Registration
191980 TCEO New Participant Registration Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2025 36 Months From Approved 09/30/2022
2,280,130 0 640,120
288,150 0 85,934
14,026,955 0 3,968,106





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
CDC TRAIN Delayed Follow-up Evaluation Tool n/a
CDC TRAIN Immediate Post-Course Evaluation Tool n/a
TCEO Follow-up Evaluation none
TCEO New Participant Registration none
TCEO Post-Course Evaluation none
TCEO Proposal none

table that charts list of burden
  Total Approved 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