Information Collection

Rural EMS Training Program Monitoring Report

IC 255200 under ICR 202208-0930-002 · OMB 0930-0392.

Documents and Forms

Document Name Document Type
Form Rural EMS Monitori Rural EMS Training Program Monitoring Report Form and Instruction
Rural EMS Monitori Rural EMS Monitoring Report Attachmet 1_Rural EMS Training Program Monitoring Report.docx Form and Instruction
Rural EMS Monitori Rural EMS Monitoring Report Attachmet 1_Rural EMS Training Program Monitoring Report.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rural EMS Training Program Monitoring Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	Rural EMS Monitoring Report	Rural EMS Monitoring Report	Attachmet 1_Rural EMS Training Program Monitoring Report.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Rural EMS Training Program Monitoring Report	FR Citation: 75 FR 28264

Number of Respondents: 27	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	9	9
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.