Information Collection Request

[NCZEID] Healthcare Response and Prevention Training Curriculum for Health Departments

ICR 202308-0920-011 · OMB 0920-1418 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-23FZ Attachment 1D-Public Health Program Impact of Training Form and Instruction New Available
Form 0920-23FZ Public Health program impact of trainings Form and Instruction New Repair queued
Form 0920-23FZ Attachment 1B-Training Evaluation Instrument - Post-test Form and Instruction New Available
Form 0920-23FZ Post- Assessment Form and Instruction New Repair queued
Form 0920-23FZ Attachment 1A-Training Evaluation Instrument - Pre-test Form and Instruction New Available
Form 0920-23FZ Pre-Test Form and Instruction New Repair queued
Form 0920-23FZ Attachment 1C-Training Evaluation Instrument - Registration Form and Instruction New Available
Form 0920-23FZ Registration Form and Instruction New Repair queued
FRN Publication Request Worksheet.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
Attachment 5-Human Subjects Determination.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
Attachment 4-Privacy Impact Assessment.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
30_Day_FRN_2023.docx Supplementary Document Uploaded 2023-08-30 Repair queued
Attachment 2-Section 301 of the Public Health Service Act (42 U.S.C. 241).pdf Supplementary Document Uploaded 2023-08-30 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2023-08-30 Repair queued
Supporting Statement A_v2.docx Supporting Statement A Uploaded 2023-09-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
262048 Public Health program impact of trainings Form and Instruction NewAttachment 1D-Public Health Program Impact of Training
262048 Public Health program impact of trainings Form and Instruction New
262047 Post- Assessment Form and Instruction NewAttachment 1B-Training Evaluation Instrument - Post-test
262047 Post- Assessment Form and Instruction New
262046 Pre-Test Form and Instruction NewAttachment 1A-Training Evaluation Instrument - Pre-test
262046 Pre-Test Form and Instruction New
262045 Registration Form and Instruction NewAttachment 1C-Training Evaluation Instrument - Registration
262045 Registration Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2026 36 Months From Approved
1,364 0 0
316 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Post- Assessment 0920-23FZ
Pre-Test 0920-23FZ
Public Health program impact of trainings 0920-23FZ
Registration 0920-23FZ

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 1,364 0 0 1,364 0 0
Annual Time Burden (Hours) 316 0 0 316 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No