Rural EMS Training Program Monitoring Report

Rural Emergency Medical Services Training (EMS Training)

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

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.