EHLR Training Registration

[ATSDR] Assessment of Environmental Health and Land Reuse Certification Training

Documents and Forms

Document Name Document Type
Form 0923-0060 EHLR Training Registration Form and Instruction
0923-0060 EHLR Training Registration Att3-EHLR-RegistFrm (Basic-Immrsv) (online) RSTw-Chg.pdf Form and Instruction
0923-0060 EHLR Training Registration Att3-EHLR-RegistFrm (Basic-Immrsv) (online) RSTw-Chg.pdf Form and Instruction
Att3a-EHLR-SampConfReg (Imm) (screenshots) online RSTw-Chg.docx Sample Conference Registration Forms (Immersion) (screenshots) IC Document
Att3a-EHLR-SampConfReg (Imm) (screenshots) online RSTw-Chg.docx Sample Conference Registration Forms (Immersion) (screenshots) IC Document
Att3-EHLR-RegFrm (basic-imm) (Word) RSTw-Chg.docx EHLR-RegistFrm (Basic -Immrsv)(online) IC Document
Att3-EHLR-RegFrm (basic-imm) (Word) RSTw-Chg.docx EHLR-RegistFrm (Basic -Immrsv)(online) IC Document

Information Collection (IC) Details

IC Title:	EHLR Training Registration	Agency IC Tracking Number:	0923-0060

Is this a Common Form? No		IC Status: Modified

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	0923-0060	EHLR Training Registration	Att3-EHLR-RegistFrm (Basic-Immrsv) (online) RSTw-Chg.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: 09-20-0161 Records of Health Professional in Disease Prevention and Control Training Programs, HHS/CDC/NCPS	FR Citation: 83 FR 6591

Number of Respondents: 225	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	225	25	200
Annual IC Time Burden (Hours)	11	-56	67
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Sample Conference Registration Forms (Immersion) (screenshots)	Att3a-EHLR-SampConfReg (Imm) (screenshots) online RSTw-Chg.docx	08/09/2023
EHLR-RegistFrm (Basic -Immrsv)(online)	Att3-EHLR-RegFrm (basic-imm) (Word) RSTw-Chg.docx	08/09/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.