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Federal forms, ICRs, and supporting documents

Information Collection

EHLR Privacy Act Opt Out Form

IC 261508 under ICR 202307-0923-001 · OMB 0923-0060.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

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EHLR Privacy Act Opt Out Form 0923-0060
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0923-0060 EHLR Privacy Act Opt Out Form Att3b-EHLR Privacy Act Opt Out Form (Word) RSTw-Chg.docx NA Yes Yes Fillable Fileable

Workforce Management Training and Employment

09-20-0161 Records of Health Professional in Disease Prevention and Control Training Programs, HHS/CDC/NCPS  83 FR 6591

11 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 11 0 11 0 0 0
Annual IC Time Burden (Hours) 1 0 -9 10 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Sample Conference Registration Forms (Immersion) (screenshots) Att3a-EHLR-SampConfReg (Imm) (screenshots) online RSTw-Chg.docx 08/09/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.